Technical features and latest advances in robot-assisted radical cystectomy with orthotopic neobladder reconstruction

VernacularTitle:机器人辅助腹腔镜完全腔内原位膀胱构建的技术特点与最新进展
Author: Hai BI ¹ ; Mingming LOU ¹
Author Information

1. Department of Urology, Shanghai General Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China
Publication Type:Journal Article
Keywords: bladder cancer; robot-assisted radical cystectomy; orthotopic neobladder reconstruction; totally intracorporeal; urinary diversion
From: Journal of Modern Urology 2026;31(3):201-206
CountryChina
Language:Chinese
Abstract: Robot-assisted radical cystectomy(RARC)combined with orthotopic neobladder(ONB)reconstruction represents a key function-preserving surgical approach for the treatment of muscle-invasive bladder cancer(MIBC). This review systematically summarizes current techniques and standardized operative procedures for ONB reconstruction, including the modified Studer, Bordeaux, and conventional Y-shaped methods, with a focus on the innovative totally intracorporeal modified Y-shaped orthotopic neobladder technique developed by our department. Based on perioperative data of 5 bladder cancer patients treated during Jan. and Dec. 2024, the comprehensive impacts of this technique on functional outcomes, oncological efficacy and patients' quality of life were evaluated. The review aims to provide evidence-based support for the standardized adoption of this technique and a three-dimensional anatomical teaching paradigm.