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Orthotopic Neobladder Formation

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Complications in Robotic Urologic Surgery

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Abstract

Robotic orthotopic neobladder formation is one of the most challenging procedures in urological surgery and to date performed only in a few specialized centres. In recent years, the principles of open bladder reconstruction have been successfully translated to robotic-assisted surgery. Several techniques of reservoir formation have been described, with most of them creating a low-pressure bladder using a cross folded segment of ileum.

With progress in surgical technique and experience, operating times are now routinely equivalent to open procedures in high-volume centres. Complication rates are comparable to open surgery and in carefully selected patients, robotic-assisted reconstruction has become extremely successful. The key aspects in preventing complications include patient selection, meticulous preparation of the procedure, careful positioning and adherence to sound surgical principles. Post-operative care following the guidelines of enhanced recovery and close follow-up are further pre-requisites of a successful programme.

This chapter will focus on patient selection and preparation, technical details of the procedure and post-operative care necessary to minimize complications after robotic orthotopic neobladder formation.

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Author information

Authors and Affiliations

  1. Department of Urology, University Hospital Aachen, Aachen, Germany

    Christian Andreas Bach

  2. Bristol Urological Institute, North Bristol NHS Trust, Southmead Hospital, Bristol, UK

    Anthony Koupparis

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  1. Christian Andreas Bach
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  2. Anthony Koupparis
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Correspondence to Christian Andreas Bach .

Editor information

Editors and Affiliations

  1. USC Institute of Urology, University of Southern California, Los Angeles, California, USA

    René Sotelo

  2. Department of Urology, Hospital CIMA, Hermosillo, Sonora, Mexico

    Juan Arriaga

  3. USC Institute of Urology, University of Southern California, Los Angeles, California, USA

    Monish Aron

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Bach, C.A., Koupparis, A. (2018). Orthotopic Neobladder Formation. In: Sotelo, R., Arriaga, J., Aron, M. (eds) Complications in Robotic Urologic Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-62277-4_27

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  • DOI: https://doi.org/10.1007/978-3-319-62277-4_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62276-7

  • Online ISBN: 978-3-319-62277-4

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