To evaluate retrospectively the feasibility of Florence robotic intracorporeal neobladder technique in laparoscopic radical cystectomy.
Fourteen patients with muscle invasive bladder cancer underwent laparoscopic radical cystectomy and Florence robotic intracorporeal neobladder between September 2021 and February 2023. Patients' characteristics, pathology data, perioperative outcomes, post-operative complications, and follow-up data were collected.
All operations were successfully completed laparoscopically. The median total operative time was 343 min, and the median estimated blood loss was 169.5 ml. No intraoperative complications were observed. The median hospitalization time was seven days, while the median time to regular diet was three days. Clavien Dindo Grade < III complications appeared in five patients within 30 days post operation. No other complications were noted over the 90 days follow up. Organ-confined disease was confirmed in 11 patients and locally advanced disease in three patients. At three months follow-up, eight and four patients were daytime and night-time continent, respectively.
Replicating Florence robotic intracorporeal neobladder in laparoscopic radical cystectomy is safe, feasible and repeatable, based on the encouraging perioperative, oncological, and functional outcomes of our study. However, further prospective studies on a larger scale are required to prove its long-term results.
Urology. 2023 Nov 17 [Epub ahead of print]
Angelis Peteinaris, Kristiana Gkeka, Paraskevi Katsakiori, Vasileios Tatanis, Eirini Anaplioti, Solon Faitatziadis, Theodoros Spinos, Mohammed Obaidat, Athanasios Vagionis, Spyridon Polizonis, Fotios Michalopoulos, Evangelos Liatsikos, Panagiotis Kallidonis
Department of Urology, University of Patras, Patras, Greece., Department of Urology, University of Patras, Patras, Greece; Department of Urology, Medical University of Vienna, Vienna, Austria. Electronic address: .