Totally intracorporeal robot-assisted orthotopic ileal neobladder after bladder preservation therapy: a case report
10.3760/cma.j.cn112330-20220401-00159
- VernacularTitle:保留膀胱治疗后完全机器人辅助腹腔镜根治性膀胱切除术+原位回肠膀胱1例报告
- Author:
Hai BI
1
;
Hao WANG
;
Ran PENG
;
Cheng LIU
;
Lulin MA
Author Information
1. 北京大学第三医院泌尿外科，北京 100191
- Keywords:
Urinary bladder neoplasms;
Bladder cancer;
Bladder preservation therapy;
Robot-assisted laparoscopy;
Orthotopic ileal neobladder
- From:
Chinese Journal of Urology
2022;43(6):455-457
- CountryChina
- Language:Chinese
-
Abstract:
The patient, a 56-year old male, was admitted to the hospital for recurrent bladder cancer in November 29, 2021. The patient had previously undergone partial cystectomy, simultaneous radio-chemotherapy to preserve the bladder, and repeated 4 times TURBt. CT suggested T 3 stage bladder cancer in left bladder wall, and causing left hydronephrosis. Under general anesthesia, robot-assisted laparoscopic radical cystectomy and complete intraperitoneal orthotopic ileal neobladder reconstruction were performed. The operation was successful, the postoperative recovery was good, and the patient was discharged 7 days after surgery. Postoperative pathological diagnosis was T 2b, high-grade urothelial carcinoma with left pelvic lymph node metastasis. Three months after operation, the patient had no recurrence, the new bladder function was good, the urine could be completely controlled during the day, and the intestinal and renal functions recovered well. At present, we carried out adjuvant chemotherapy (Gemcitabine+ Cisplatin)to this patient. The technical of radical cystectomy and orthotopic ileal neobladder with a history of surgery and radiotherapy is high, expensive experience in laparoscopic surgery and elaborate actions of robotic surgery are important prerequisites for completing such surgery.
