Laparoscopy-Assisted Robotic Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion for Muscle-Invasive Bladder Cancer: Initial Two Cases

Background and Purpose: The use of the da Vinci™ robot is being investigated in the discipline of urologic surgery. We describe our experience with its use during radical cystoprostatectomy in two patients with organ-confined bladder cancer. Patients and Methods: Laparoscopic radical cystoprostatectomy with ileal conduit urinary diversion was performed using the da Vinci robot. Both patients were informed about this new approach, and informed consent was obtained. Results: There were no intraoperative or postoperative complications. The operative time was 10 and 12 hours. A clear liquid diet was started on the third postoperative day. Final histopathology examination in both patients revealed T_3aN₀M₀ transitional-cell carcinoma. The hospital stay was 6 days. Both patients returned to normal activity within 2 weeks. Conclusion: Robot-assisted laparoscopic radical cystoprostatectomy with ileal conduit urinary diversion for muscle-invasive bladder cancer is feasible.