Robotic Surgery of the Bladder

227 Pages·2014·5.556 MB·English

by  Jan Colli MD, Mathew Oommen MD, Raju Thomas MD, FACS, MHA (auth.), Erik P. Castle, Raj S. Pruthi (eds.)

Erik P. Castle · Raj S. Pruthi
Editors
Robotic Surgery
of the Bladder
DVDVIDEO
123
INCLUDED
Robotic Surgery of the Bladder

Erik P. Castle (cid:129) R aj S. Pruthi

Editors
Robotic Surgery
of the Bladder
Editors
Erik P. Castle, M.D., F.A.C.S. Raj S. Pruthi, M.D., F.A.C.S.
Department of Urology Department of Urology
Mayo Clinic The University of North Carolina
Phoenix , AZ , USA at Chapel Hill
Chapel Hill , NC , USA
ISBN 978-1-4614-4905-8 ISBN 978-1-4614-4906-5 (eBook)
DOI 10.1007/978-1-4614-4906-5
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2013944895
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Pref ace
Since the introduction of the surgical robot into the armamentarium of uro-
logical surgeons, there has been a rapid adoption of the robotic approach to
urological procedures. Until recently, prostate and kidney surgery have been
the primary techniques to which robotic surgery has been implemented. Over
the last few years there has been an increase in robotic surgery for the manage-
ment of bladder pathology, particularly bladder cancer and radical cystectomy.
While the acceptance has been much slower than what was witnessed with
radical prostatectomy, many surgeons are now embarking on robot-a ssisted
radical cystectomy (RARC) and other surgical procedures of the bladder.
In Robotic Surgery of the Bladder , the reader can expect to benefi t from
the shared experience of established experts in the fi eld of robotic surgery and
bladder cancer. Topics contained within the text range from a review of the
history of minimally invasive surgery of the bladder to contemporary issues
such as cost. Early in the text, the principles of bladder cancer surgery are
reviewed and set the bar for all surgeons planning on performing RARC.
Chapters such as these refl ect the comprehensive nature of the text.
With a large portion dedicated to preparation and technique, we expect
that surgeons interested in moving from robot-assisted radical prostatectomy
to radical cystectomy will fi nd the detailed technical descriptions and accom-
panying videos to be very useful. Technical nuances including, female cys-
tectomy, nerve sparing, and pelvic lymphadenectomy will be covered, among
others. Three chapters cover urinary diversion and different approaches to
one of the more complex aspects of radical cystectomy. The authors of the
technical chapters are all well known within the fi eld of robot-assisted radical
cystectomy and provide the reader with a collective experience that spans
more than 8 years and resulted in established reproducible steps.
Several chapters are dedicated to getting started and preparation and are of
particular importance when setting oneself up for success. Two chapters cov-
ering perioperative outcomes and complications complement these sections
as setup and outcomes are intimately related. Oncological outcomes, one of
the most important metrics used to rate success following radical cystectomy,
are extensively reviewed in Chap. 1 4 . Surgery for benign disorders of the
bladder is also covered. In order to present a balanced text covering robotic
surgery of the bladder, criticisms and concerns that have been raised in the
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vi Preface
past are also thoughtfully reviewed. Finally, a discussion of future directions
can be found in the end and demonstrates the limitless possibilities.
We expect that you will fi nd this book to be both informative and instruc-
tional and look forward to your contribution to the fi eld of robotic surgery of
the bladder.
Phoenix , AZ , USA Erik P. Castle, M.D., F.A.C.S.
Chapel Hill , NC , USA Raj S. Pruthi, M.D., F.A.C.S.
Contents
1 History of Minimally Invasive Techniques for Radical
Cystectomy with Urinary Diversion ............................................ 1
Jan Colli, Mathew Oommen, and Raju Thomas
2 Principles of Bladder Cancer Surgery ........................................ 5
Christopher B. Anderson, Michael S. Cookson, and Sam S. Chang
3 Robot-Assisted Cystectomy: Getting Started:
Prior Experience, Learning Curve, and Initial
Patient Selection ............................................................................ 27
Matthew K. Tollefson and Mitchell R. Humphreys
4 Robot-Assisted Radical Cystectomy: Room Setup,
Patient Positioning, Instrumentation,
and Anesthetic Considerations .................................................... 37
David D. Thiel and Paul R. Young
5 Preoperative Preparation and Care ............................................ 47
Jeffrey Holzbeierlein and Joshua G. Griffi n
6 Robot-Assisted Radical Cystectomy: Male ................................. 53
Erik P. Castle and Raj S. Pruthi
7 Robot-Assisted Anterior Pelvic Exenteration
for Bladder Cancer in the Female ............................................... 63
Jeffrey W. Nix and Raj S. Pruthi
8 Variations in Surgical Approach: Partial Cystectomy,
Vaginal- Sparing, and Prostate-Sparing ...................................... 77
Anthony N. Hoang, Ashok K. Hemal, and Piyush K. Agarwal
9 Robot-Assisted Pelvic Lymphadenectomy .................................. 93
Kris E. Gaston and John W. Davis
10 Extracorporeal Urinary Diversion .............................................. 103
Kevin G. Chan and Timothy G. Wilson
11 Robot-Assisted Intracorporeal Ileal Conduit ............................. 111
Magnus Annerstedt and Erik P. Castle
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viii Contents
12 Intracorporeal Ileal Neobladder .................................................. 117
Stavros I. Tyritzis, Alexander Mottrie, Vincenzo Ficarra,
and Peter Wiklund
13 Perioperative Care: The Radical Cystectomy Pathway ............ 127
Raj Kurpad, Eric M. Wallen, and Matthew E. Nielsen
14 Oncologic Outcomes ..................................................................... 137
Dipen Parekh, G. Andy Ransford, and George S. Kallingal
15 Perioperative Outcomes and Complications
of Robot-Assisted Cystectomy ..................................................... 145
Daniel A. Barocas and Mark L. Gonzalgo
16 Surgical Avoidance and Management
of Operative Complications.......................................................... 159
Angela Smith and Michael Woods
17 Cost of Robot-Assisted Radical Cystectomy ............................... 171
David A. Green and Douglas S. Scherr
18 Questions and Concerns of Robotic Approaches
to Bladder Cancer Surgery .......................................................... 177
Katherine Theisen, Ken Haberman, and Badrinath R. Konety
19 Robot-Assisted Surgery for Benign Disease of the Bladder ...... 197
Christopher E. Wolter, Rafael N. Nunez, and Erik P. Castle
20 Future Directions in Robotic Surgery for Bladder Cancer ....... 205
Michele Billia, Muhammad Shamim Khan, and Prokar Dasgupta
Index ....................................................................................................... 219
Contributors
Piyush K. Agarwal Urologic Oncology Branch , National Cancer Institute,
National Institute of Health , Bethesda , MD , USA
Christopher B. Anderson Department of Urologic Surgery , Vanderbilt
University Medical Center , Nashville , TN , USA
Magnus Annerstedt Sophiahemmet Hospital, Urology Clinic , Stockholm ,
Sweden
Daniel A. Barocas Department of Urologic Surgery , Center for Surgical
Quality and Outcomes Research, Vanderbilt University Medical Center ,
Nashville , TN , USA
Michele Billia Department of Urology , Kings College London, Kings Health
Partners, Guy’s Hospital , London , UK
Erik P. Castle Department of Urology , Mayo Clinic , Phoenix , AZ , USA
Kevin G. Chan Department of Surgery, Division of Urology and Urologic
Oncology , City of Hope Medical Center , Duarte , CA , USA
Sam S. Chang Department of Urologic Surgery , Vanderbilt University
Medical Center , Nashville , TN , USA
Jan Colli Department of Urology , Tulane University Health Sciences Center ,
New Orleans , LA , USA
Michael S. Cookson Department of Urologic Surgery , Vanderbilt University
Medical Center , Nashville , TN , USA
Prokar Dasgupta Kings College London, Kings Health Partners, Guy’s
Hospital , MRC Centre for Transplantation NIHR Biomedical Research
Centre , London , UK
John W. Davis Urology Director , Urosurgical Prostate Cancer Program,
MD Anderson Cancer Center , Houston , TX , USA
Vincenzo Ficarra Department of Urology , University of Padova , Padova , Italy
Kris E. Gaston Department of Urologic Oncology , Carolinas Medical
Center, Levine Cancer Institute , Charlotte , NC , USA
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