Robotic single-port radical cystectomy: initial experience with 9 cases report
10.3760/cma.j.cn112330-20200807-00586
- VernacularTitle:机器人单孔腹腔镜根治性膀胱切除术的初步疗效分析(附9例报告)
- Author:
Jiazi SHI
1
;
Zhijun WANG
;
Guanqun JU
;
Anbang WANG
;
Ming CHEN
;
Zhenjie WU
;
Zongqin ZHANG
;
Hong XU
;
Bing LIU
;
Dongliang XU
;
Linhui WANG
Author Information
1. 海军军医大学长征医院泌尿外科，上海 200003
- From:
Chinese Journal of Urology
2020;41(11):811-814
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the safety and feasibility of single-port robotic radical cystectomy.Methods:During May 2019 and August 2019, nine patients (8 males, 1 female) received single-port robotic radical cystectomy by the same surgeon. The average age was 65.6(56-78)years. After a 4.5-5.5 cm trans-umbilical incision was made, Lagiport was inserted. Da Vinci Si system 1 #, 2 # arms and 30° lens were applied. Radical cystectomy and bilateral pelvic lymphadenectomy were performed without additional ports. Urinary diversion was completed outside the body. Uterus and vaginal anterior walls were also resected for female patient. Results:All 9 surgeries were successfully conducted without additional ports or conversion to laparoscopic and open surgery. The average operation time was 437.8(280-600)min. Urinary diversion methods included 2 orthotopic ileal neobladder, 5 ideal conduit and 2 cutaneous ureterostomy. Average estimated blood loss was 227.8(100-450)ml, without blood transfusion. Average intestinal recovery time was 3.1(2-4)days, drainage duration was 8.3(3-16) days, and postoperative hospital stays was 7.7(6-13) days. Pathological TNM stage: T 2aN 0M 0 6 cases, T 2bN 0M 0 1 case, T 3aN 3M 0 1 case, T isN 0M 0 1 case. All surgical margins were negative. One bowel obstruction was cured with fasting and indwelling gastric tube. During 9-12 months’ follow-up, no tumor recurrence and metastasis were observed. There was no hydronephrosis or ureterostenosis. All surgical incision healed well. Conclusions:For experienced surgeons, single-port robotic radical cystectomy is safe and feasible with small incision and fast recovery. Short-term clinical result is satisfied.
