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Technique of Extracorporeal Urinary Diversion

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Robotic Urology

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Abstract

The purpose of this chapter is to provide a step-by-step approach to the different extracorporeal urinary diversions that may be performed in the setting of robot-assisted laparoscopic radical cystectomy (RARC). Recent reports indicate comparable results to open surgery with regard to intermediate-term oncological outcomes and extent of pelvic lymph node dissection. However, operative times are one of the main obstacles that hinder widespread acceptance of RARC. Extracorporeal urinary diversion with RARC provides a method of reconstruction that mirrors that of open surgery with regard to operative times. Complication rates and functional outcomes with extracorporeal urinary diversion also appear comparable to open series.

We will discuss in detail the extracorporeal techniques of a Studer orthotopic neobladder, Indiana pouch continent cutaneous urinary diversion, and ileal conduit urinary diversion. At our institution, we have performed more than 550 RARCs. Urinary diversions were primarily performed extracorporeally and the majority were continent urinary diversions. We describe our technique that follows a common template, which can be applied to all types of urinary diversion.

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Authors and Affiliations

  1. Division of Urology, City of Hope National Medical Center, 1500 East Duarte Road, Duarte, CA, 91010, USA

    Avinash Chennamsetty & Kevin G. Chan

Authors
  1. Avinash Chennamsetty
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  2. Kevin G. Chan
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Correspondence to Kevin G. Chan .

Editor information

Editors and Affiliations

  1. Department of Urology, Kantonsspital Winterthur, Winterthur, Switzerland

    Hubert John

  2. Department of Urology, Karolinska Institutet, Stockholm, Sweden

    Peter Wiklund

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Chennamsetty, A., Chan, K.G. (2018). Technique of Extracorporeal Urinary Diversion. In: John, H., Wiklund, P. (eds) Robotic Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-65864-3_19

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  • DOI: https://doi.org/10.1007/978-3-319-65864-3_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65863-6

  • Online ISBN: 978-3-319-65864-3

  • eBook Packages: MedicineMedicine (R0)

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