Journal of Endourology ROBOTIC INTRACORPOREAL URINARY DIVERSION: TECHNICAL DETAILS TO IMPROVE TIME EFFICIENCY (doi: 10.1089/end.2014.0284) This article has been peer-reviewed and accepted for publication, but has yet to undergo copyediting and proof correction. The final published version may differ from this proof.
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1 ROBOTIC INTRACORPOREAL URINARY DIVERSION: TECHNICAL DETAILS TO IMPROVE TIME EFFICIENCY
Mihir M. Desai*, Andre Luis Castro de Abreu, Alvin C. Goh, Adrian Fairey, Andre Berger, Scott Leslie, Hui Wen Xie, Karanvir S. Gill, Gus Miranda, Monish Aron, Rene Sotelo, Yinghao Sun, Zhang Xu, Inderbir S. Gill.
USC Institute of Urology, Catherine & Joseph Aresty Department of Urology Keck School of Medicine, University of Southern California
Los Angeles, California
Word count: Abstract: 284 Text: 2061 Tables: 8 Figure: 1 Keywords: Robot-assisted radical cystectomy, Robotic, Urinary diversion, Bladder Cancer
*Address and Reprints: Mihir M. Desai, MD Professor of Clinical Urology Director of Robotic Surgery USC Institute of Urology University of Southern California 1441 Eastlake Ave, Suite 7416 Los Angeles, CA 90089 Ph: (323) 865 3749 Fax: (323) 865 0120 e-mail:
[email protected] 1
Journal of Endourology ROBOTIC INTRACORPOREAL URINARY DIVERSION: TECHNICAL DETAILS TO IMPROVE TIME EFFICIENCY (doi: 10.1089/end.2014.0284) This article has been peer-reviewed and accepted for publication, but has yet to undergo copyediting and proof correction. The final published version may differ from this proof.
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ABSTRACT Objectives: To present time-efficiency data during our initial experience with intracorporeal urinary diversion and technical tips that may shorten operative time early in the learning curve. Patients and methods: Data were analyzed in the initial 37 consecutive patients undergoing robotic radical cystectomy and intracorporeal urinary diversion in whom detailed stepwise operative time data were available. Median age was 65 years and median BMI was 27. Neoadjuvant chemotherapy was administered in 6 patients and 11 patients had clinical evidence of T3 or lymph node-positive disease. Each component of the operation was subdivided into specific steps and operative time for each step was prospectively recorded. Peri-operative and follow-up data upto 90 days and final pathological data were recorded. Results: All procedures were completed intracorporeally and robotically without need for conversion to open surgery or extracorporeal diversion. Median total operative time was 387 vs 386 minutes (p=0.2) and median total console time was 361 vs 295 minutes (p
