The Robotic Appendicovesicostomy and Bladder Augmentation. The Next Frontier in Robotics, Are we There?

Andrew J. Cohen, Joseph J. Pariser, Blake B. Anderson, Shane M. Pearce, Mohan S. Gundeti

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

There is growing interest in applying robotic-assisted laparoscopic techniques to complex reconstructive pelvic surgery owing to inherent benefits of precision, tissue handling, and articulating instruments for suturing. This review examines preliminary experiences with robotic-assisted laparoscopic augmentation ileocystoplasty and Mitrofanoff appendicovesicostomy (RALIMA) as either an isolated or combined procedure. These series suggest RALIMA is feasible, with the benefit of early recovery and improved cosmetic results in selected patients. The robotic approach incurs functional outcomes and complication rates similar to those of open techniques. Given the steep learning curve, only surgeons with extensive robotic experience are currently adopting this technique.

Original languageEnglish (US)
Pages (from-to)121-130
Number of pages10
JournalUrologic Clinics of North America
Volume42
Issue number1
DOIs
StatePublished - Feb 1 2015
Externally publishedYes

Keywords

  • Bladder augmentation
  • Continent
  • Minimally-invasive
  • Mitrofanoff
  • Neurogenic bladder
  • Robotics

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