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Current Urology Reports
Erschienen in: Current Urology Reports 5/2018

01.05.2018 | Endourology (P Mucksavage, Section Editor)

Updates on Robotic Intracorporeal Urinary Diversions

verfasst von: Shawn Dason, Alvin C. Goh

Erschienen in: Current Urology Reports | Ausgabe 5/2018

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Abstract

Purpose of Review

More than a century of development has led to contemporary urinary diversion. It is paramount that robotic intracorporeal diversions uphold the principles defined by open surgery.

Recent Findings

In this review, we discuss the fundamental open surgical principles that have led to contemporary techniques of urinary diversion. We then outline the technical aspects of several recently described robotic intracorporeal urinary diversions in the context of these surgical principles. Several potential benefits of intracorporeal urinary diversion are being investigated—such as a reduction in gastrointestinal complications, ureteral strictures, and wound complications. Finally, we highlight the important aspects of establishing an intracorporeal urinary diversion program integrated with an Enhanced Recovery after Surgery (ERAS) program. We have included the perioperative outcomes of 100 consecutive cases of intracorporeal urinary diversion with an Enhanced Recovery after Surgery (ERAS) protocol. In this series, 49% were continent diversions. Patients had a median length of stay of 5 days, with 37% staying 4 days or less. High-grade complications and readmissions were noted in 22 and 20% of patients, respectively.

Summary

The benefits of intracorporeal urinary diversion appear promising, and there is continued need for high-quality randomized controlled trials to define its role in patients undergoing radical cystectomy.
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Metadaten
Titel
Updates on Robotic Intracorporeal Urinary Diversions
verfasst von
Shawn Dason
Alvin C. Goh
Publikationsdatum
01.05.2018
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 5/2018
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-018-0778-z

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