Robot‐assisted radical cystectomy for bladder cancer after low anterior resection: A case report

Author:

Watanabe Shoutarou12ORCID,Kobayashi Hiroaki13,Hiroe Nao4,Iwasawa Tomohiro1,Kosugi Michio1,Shimizu Masayuki4,Ishida Masaru1

Affiliation:

1. Department of Urology Saiseikai Yokohama‐shi Tobu Hospital Yokohama Japan

2. Department of Urology Toho University Ohashi Medical Center Meguro City Japan

3. Department of Urology National Defense Medical College Hospital Tokorozawa Japan

4. Department of Trauma and Emergency Surgery Saiseikai Yokohama‐shi Tobu Hospital Yokohama Japan

Abstract

AbstractRadical cystectomy after low anterior resection is rare, and no cases of robotic surgery have been reported. Cystectomy in patients who have undergone a previous pelvic surgery, whether open or endoscopic, requires caution to avoid damaging other organs due to anatomical changes caused by adhesions in a limited space. Additionally, the curative nature of the treatment must be maintained. We describe a 69‐year‐old man with a history of open low anterior resection for rectal cancer who underwent robot‐assisted radical cystectomy with extracorporeal ileal conduit construction. Although this procedure is challenging, it was performed safely with the collaboration of colorectal surgeons. The patient was discharged without perioperative complications and remained recurrence‐free for 5 years.

Publisher

Wiley

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