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Chen et al. Mini-invasive Surg 2021;5:54 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2021.69

Technical Note Open Access

Single-port robotic radical cystectomy with ileal

conduit urinary diversion: technique and review of
the early outcomes in literature

Grace Chen, Simone Crivellaro

Department of Urology, University of Illinois at Chicago, Chicago, IL 60612, USA.
Correspondence to: Dr. Simone Crivellaro, Department of Urology, University of Illinois at Chicago, 1740 W Taylor Ave.,
Chicago, IL 60612, USA. E-mail: crivellaro76@hotmail.com
How to cite this article: Chen G, Crivellaro S. Single-port robotic radical cystectomy with ileal conduit urinary diversion:
technique and review of the early outcomes in literature. Mini-invasive Surg 2021;5:54. https://dx.doi.org/10.20517/2574-
1225.2021.69

Received: 22 May 2021 First Decision: 23 Jun 2021 Revised: 26 Jul 2021 Accepted: 22 Oct 2021 Published: 17 Nov 2021
Academic Editor: Riccardo Autorino Copy Editor: Yue-Yue Zhang Production Editor: Yue-Yue Zhang

Abstract
The introduction of the da Vinci single port (SP) surgical system (Intuitive Surgical, Sunnyvale, CA, USA) has
meant a necessary evolution in the surgical techniques used to perform various Urologic surgeries, such as robotic-
assisted radical cystectomy (RARC). In this paper, we describe a step-by-step technique for RARC with
intracorporeal ileal conduit urinary diversion using the SP system at our institution and summarize early outcomes
in the literature. The surgery was performed utilizing the standard institutional approach for radical cystectomy for
the multiport robot, modified for the SP where appropriate. A total of 3 articles were found that included early
patient outcomes after SP RARC. Including our institution, a total of 21 patients were included in the final analysis.
The average patient age was 68 years old, 16 of the 21 patients were male, 13 of the patients had intracorporeal
urinary diversions, the average operative time was 366 min with an average estimated blood loss of 185. The
average length of stay was 5.4 days. Among these patients, there were three 30-day complications noted and five
90-day complications, all of which were Clavian II or lower. We conclude that RARC utilizing the SP approach is
both feasible and offers several theoretical advantages over the open and multiport approaches, but further study is
necessary before advocating for widespread adoption of this modality.

Keywords: Single-port, robotic cystectomy, radical cystectomy, minimally invasive surgery

© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
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