A Case of Radical Robot-Assisted Cystectomy with Studer's Orthotopic Ileocystoplasty

Abstract

Introduction. Radical cystectomy is a standard treatment for muscle-invasive bladder cancer (MIBC). The most important stage of such an operation involves urinary reconstruction through the mechanism of urinary diversion, which may be associated with various complications thus decreasing the patients’ quality of life.Materials and methods. Patient G., 66 years old, was diagnosed with bladder cancer T2bN0M0. A robot-assisted radical cystprostate-vesiculectomy was performed with the formation of a neobladder according to the Studer technique. The article presents illustrations of the resection and reconstructive stages of the operation, as well as examination data 3 months after the surgical treatment.Results and discussion. The operation lasted for 405 minutes. The volume of blood loss was 150 ml. According to the follow-up examination performed 3 months after the operation, the patient was able to independently control urination by contracting the muscles of the anterior abdominal wall. According to CT data, the patient showed no signs of a relapse. The formed ileal conduit was functioning successfully. Urinary reflux was not detected.Conclusion. Radical robot-assisted laparoscopic cystectomy is an effective low-invasive method of surgical treatment in patients with bladder cancer. This method allows the hospitalization and postoperative period to be optimized. The continent urinary diversion method improves the period of social adaptation and the quality of life in such patients.

Keywords

• радикальная цистэктомия
• тазовая лимфодиссекция
• роботизированные хирургические операции
• лапароскопия
• рак мочевого пузыря
• искусственные резервуары отведения мочи
• илеокондуит
• хирургический анастомоз