Laparoscopy and Robotics Robotic-assisted Ileovesicostomy: Initial Results

Eight robotic ileovesicostomies were performed. The median patient age was 53 years, body mass index was 29.0 kg/m 2 , and preoperative bladder compliance was 5.7 mL/cm/H2O. The median blood loss was 100 mL. The median operative time was 330 minutes (range 240-420). No intraoperative complications occurred. Four patients had postoperative complications, including urethral incontinence (2) and ileus (2). No wound complications occurred. Bowel function returned after a median of 4.8 days after surgery, and median hospital stay was 7.7 days. Over a median 14-month follow-up, all patients had a functioning ileovesicostomy, and median postoperative residual bladder volume was 10 mL. CONCLUSIONS This study is the first to describe the robotic ileovesicostomy procedure. Robotic ileovesicostomy appears to be safe and effective, with low morbidity. UROLOGY 74: 814‐818, 2009. © 2009 Elsevier Inc.