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Step-by-Step Approach to Extracorporeal Urinary Diversion in Robot-Assisted Cystectomy

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Robotic Urologic Surgery

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Abstract

Robot-assisted radical cystectomy (RARC) has established itself as a standard treatment for muscle invasive bladder cancer which to date has shown comparable perioperative and oncologic outcomes to the gold standard of open radical cystectomy. The primary morbidity associated with radical cystectomy remains the urinary diversion. Herein we will discuss important patient factors for diversion selection, 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) and report on specific risks, complication rates, and long-term data associated with each reconstruction technique. Specifically, we will discuss in detail the extracorporeal techniques of a Studer orthotopic neobladder, Indiana pouch continent cutaneous urinary diversion, and ileal conduit urinary diversion.

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Authors and Affiliations

  1. City of Hope National Cancer Center Duarte, Duarte, CA, USA

    Yasmeen Jaber & Kevin Chan

  2. The St. John’s Cancer Institute, Santa Monica, CA, USA

    Timothy G. Wilson

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  1. Yasmeen Jaber
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  2. Timothy G. Wilson
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Editors and Affiliations

  1. Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA

    Peter Wiklund

  2. Department of Urology, ORSI Academy, Aalst, Belgium

    Alexandre Mottrie

  3. Pediatric Urology, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA

    Mohan S Gundeti

  4. Urology, Global Robotics Institute, Celebration, FL, USA

    Vipul Patel

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Jaber, Y., Wilson, T.G., Chan, K. (2022). Step-by-Step Approach to Extracorporeal Urinary Diversion in Robot-Assisted Cystectomy. In: Wiklund, P., Mottrie, A., Gundeti, M.S., Patel, V. (eds) Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-00363-9_62

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  • DOI: https://doi.org/10.1007/978-3-031-00363-9_62

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