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Page 10 of 19 Maqboul et al. Mini-invasive Surg 2021;5:44 https://dx.doi.org/10.20517/2574-1225.2021.54
Figure 16. Ileo-ureteric anastomosis B.
Figure 17. Ileo-ureteric anastomosis C.
Figure 18. Inflation of neobladder.
RIN is the logical evolution of the minimally invasive approach for RARC, and it is recognized as its most
technically challenging part. Moreover, most of the complications of the procedure are caused by this
reconstruction. Studies focused on learning curves for RIN are discussed in more detail below, but,
interestingly, it is not only operating times (OTs) that fall but also the rate of high-grade complications as
[5]
centers gain experience . Although oncological outcomes data may seem more dependent on the
cystectomy and extended lymph node dissection, the choice of RIN may also influence oncological
outcomes by prolonged OTs or incomplete resection of tumor at the urethral margin. Nevertheless, apart