Combined Open and Robotic Neobladder: Advantages of Both Approaches

Abstract

Abstract Introduction: Using the robotic platform for radical cystectomy offers many advantages, and this procedure is gaining acceptance around the world. However, performing the urinary diversion by this approach requires the development of special skills, and the learning curve is yet to be determined. Combining the robotic and the open approaches may allow the surgeon to maintain the outcomes while developing the technique for the intracorporeal urinary diversion. Materials and Methods: In our present case series of seven patients, most of the patients were having T1 or early T2 disease. We present a video of a male patient, aged 59 years, with a history of recurrent urothelial bladder carcinoma with squamous differentiation (T1G3). CT shows large bladder tumor in right lateral wall. Robotic radical cystectomy and bilateral standard lymph node dissection (Da Vinci Si Surgical System®) were performed in the extended Trendelenburg position. While doing lymph node dissection, we went cranially up to the ...