Document Detail


Tips and tricks to robot-assisted radical cystectomy and intracorporeal diversion.
MedLine Citation:
PMID:  23202288     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: To summarize the fundamental principles for technique of robot-assisted radical cystectomy (RARC) based on current peer reviewed literature. Also provide most recent evidence for the efficacy of RARC and Intracorporeal Ileal Conduit (ICIC).
RECENT FINDINGS: Technical tricks have increased the efficiency of RARC and ICIC diversion. Perioperative and short-term outcomes have demonstrated that RARC is an acceptable alternative to open radical cystectomy. Acceptable positive surgical margin rates, thorough extended lymph node dissection based on tenets of oncological principles and acceptable short-term oncologic outcomes have been reported. Learning curve towards safe incorporation of intracorporeal urinary diversion and its evolution are presented.
SUMMARY: The technical tips and tricks have led to evolution of technique translating into improved surgical outcomes. RARC is a well tolerated and effective alternative to open cystectomy and urinary diversion. Intracorporeal urinary diversion is the next challenge on the horizon with an acceptable learning curve and outcomes; this evolution will lead to improvement in quality of life after this morbid surgical procedure.
Authors:
Michael A Poch; Johar Raza; John Nyquist; Khurshid A Guru
Related Documents :
2219248 - Pancreatoduodenectomy: a complicated solution.
7985098 - Role of endoscopic ultrasonography in the localization of insulinomas and gastrinomas.
15237258 - Outcome of duodenum-preserving resection of the head of the pancreas for intraductal pa...
9681848 - Current concepts in the surgical management of multiple endocrine neoplasia type 1 panc...
17461318 - Traumatic injuries associated with horseback riding.
11320478 - The use of laparoscopic ultrasonography in staging abdominal malignancy.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current opinion in urology     Volume:  23     ISSN:  1473-6586     ISO Abbreviation:  Curr Opin Urol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200621     Medline TA:  Curr Opin Urol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  65-71     Citation Subset:  IM    
Affiliation:
aH. Lee Moffitt Cancer Center, Tampa, Florida, USA bShaukat Khanum Cancer Hospital and Research Center, Lahore, Pakistan cDepartment of Urology, Roswell Park Cancer Institute, Buffalo, New York, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Comparative effectiveness of minimally invasive versus open lymphadenectomy in urological cancers.
Next Document:  CO assisted N(2) functionalization activated by a dinuclear hafnium complex: a DFT mechanistic explo...