Clinical application of domestic robotic-assisted laparoscopic radical cystectomy and detubularized sigmoid neobladder reconstruction: a report of 12 cases
10.12483/j.issn.1009-8291.2026.01.010
- VernacularTitle:国产机器人辅助腹腔镜下根治性膀胱切除及去带乙状结肠新膀胱术12例临床报告
- Author:
Hanjiang XU
1
;
Yuchen XU
1
;
Haoqiang SHI
1
;
Chaozhao LIANG
1
Author Information
1. Department of Urology, The First Affiliated Hospital of Anhui Medical University, Institute of Urology, Anhui Medical University, Anhui Province Key Laboratory of Urological and Anorological Diseases Research and Medical Transformation, Hefei 230032, China
- Publication Type:Journal Article
- Keywords:
domestic robot;
laparoscopy;
radical cystectomy;
detubularized sigmoid neobladder;
urinary diversion;
bladder cancer
- From:
Journal of Modern Urology
2026;31(1):51-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the preliminary experience and clinical outcomes of domestic(Jingfeng)robot-assisted laparoscopic radical cystectomy and detubularized sigmoid neobladder construction, and to evaluate the technical feasibility, safety, and postoperative functional recovery. Methods A retrospective analysis was conducted on 12 patients undergoing surgery in our department during Jun. and Dec.2024. The operation time, intraoperative blood loss, postoperative complications, and hospital stay were recorded to assess the surgical efficacy and safety.Results All 12 procedures were successfully completed. The average operation time was 460(390-540)minutes, including 213(170-250)minutes for radical cystectomy with lymph node dissection and 247(200-300)minutes for neobladder reconstruction and anastomosis. Intraoperative blood transfusion was required in 2 cases, and postoperative hemoglobin levels decreased by 22(7-46)g/L in 10 patients. All surgical margins were negative. No major complications of Clavien-Dindo Ⅲ or above occurred postoperatively. The average hospital stay was 9(7-14)days, and bowel function recovered within 2.58(2-3)days. During the follow-up of 2 to 6 months, 11 patients achieved daytime urinary continence, and 6 had normal continence. All patients had no obvious obstruction or hydronephrosis in the upper urinary tract. Conclusion Domestic robot-assisted laparoscopic radical cystectomy and detubularized sigmoid neobladder reconstruction is technically feasible, with advantages in precision, minimal invasiveness, and favorable postoperative recovery. Initial results demonstrate its potential in lymph node dissection, nerve preservation, and urinary continence restoration, suggesting it can become a valuable option for bladder cancer treatment.
