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Totally intracorporeal robot-assisted urinary diversion for bladder cancer(Part 1).Review and detailed characterization of ileal conduit and modified indiana pouch

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Asian Journal of Urology 2021年第1期8卷 50-62页

作者： Hugo Otaola-Arca Rafael Coelho Vipul R.Patel Marcelo Orvieto Department of Urology Clı´nica AlemanaSantiagoChile School of Medicine Clı´nica Alemana-Universidad del DesarrolloSantiagoChile Universidade de Sa˜o Paulo Instituto do Caˆncer do Estado de Sa˜o Paulo Brazil Department of Urology AdventHealth Global Robotics InstituteCelebrationFLUnited States

Objective:To review the most used robot-assisted cutaneous urinary diversion(CUD)after radical cystectomy for bladder cancer and create a unified compendium of the different alternatives,including new consistent images Methods:A non-systematic review of the literature with the keywords“bladder cancer”,“cutaneous urinary diversion”,and“radical cystectomy”was ***:Twenty-four studies of intracorporeal ileal conduit(ICIC)and two of intracorporeal indiana pouch(ICIP)were included in the *** ICIC,the patients’age ranged from 60 to 76 *** operative time to perform a urinary diversion ranged from 60 to 133 *** total estimated blood loss ranged from 200 to 1117 *** rate of positive surgical margins ranged from 0%to 14.3%.Early minor and major complication rates ranged from 0%to 71.4%and from 0%to 53.4%,*** minor and major complication rates ranged from 0%to 66%and from 0%to 32%,*** ICIP data are limited to one case report and one clinical ***:The most frequent type of CUD is *** studies comparing the performance of the different types of CUD,the performance in an intra-or extracorporeal manner,or the performance of a CUD versus orthotopic ileal neobladder are lacking in the *** this day,there are not enough quality data to determine the supremacy of one *** manuscript represents a compendium of the most used CUD with detailed descriptions of the technical aspects,operative and perioperative outcomes,and new consistent images for each technique.

关键词： Bladder cancer Ileal conduit indiana pouch Intracorporeal urinary diversion Robot-assisted radical cystectomy Surgical technique

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Modified indiana pouch Following Radical Cystectomy

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The Chinese-German Journal of Clinical Oncology 2003年第1期2卷 34-35,60页

作者：余虓叶章群杨为民胡志全王少刚曾晓勇章慧平曾令启商学军杨奕武汉华中科技大学同济医学院附属同济医院 430030

Objective To investigate the indications, operation techniques and clinical effects of a modified technique of indiana pouch. Methods A modified technique of indiana pouch was performed on 5 patients following radical cystectomy. Results 5 cases showed satisfactory therapeutic effects with of follow-up range of 6 to 30 months. All patients were continent day and night with easy catherization. The number of micturations was 5 to 6 times in the daytime and 1 to 3 times in the nighttime. Cystography of 4 cases showed that pouches were spheroidic and volumes were between 400 to 500 ml. Conclusion The advantages of the modified indiana pouch are as follows: easy manipulation; low tension and high volume in pouches; no reflux; satisfactory urinary continence and few complications. Therefore, it is worthy of clinical popularization.

关键词： bladder tumor urinary diversion indiana pouch

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