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Robotic intracorporeal orthotopic neobladder in the supine Trendelenburg position: a stepwise approach

Amit S. Bhattu¹, Chad R. Ritch^1,2, Mona Jahromi¹, Indraneel Banerjee¹, Mark L. Gonzalgo^1,2

1 Department of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA
2 Sylvester Comprehensive Cancer Center, Miami, Florida, USA
Address correspondence to Dr. Mark L. Gonzalgo, Department of Urology, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, 1120 NW 14th Street, CRC 1551, Miami, FL 33136 USA

Canadian Journal of Urology 2021, 28(4), 10794-10798.

Abstract

Robotic radical cystectomy with urinary diversion has become increasingly utilized for the surgical management of bladder cancer. Orthotopic neobladder reconstruction is still performed worldwide primarily via an extracorporeal approach because of the difficulty associated with robotic intracorporeal reconstruction. The objective of this article is to demonstrate a stepwise approach for robotic intracorporeal neobladder in a standardized manner that adheres to the principles of open surgery.

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