The Robotic Intracorporeal Vesuvian Orthotopic Neobladder (VON)—A New Technique for Continent Urinary Diversion: Initial Experience and Description of the Technique

Orthotopic neobladder reconstruction is becoming an increasing option as a urinary diversion following cystectomy for bladder cancer. The purpose of the article to describe, step-by-step, our technique robotic intracorporeal neobladder, Vesuvian Neobladder. primary aim this new surgical procedure simplify and speed up reservoir reconstruction, while at same time obtaining appropriate capacity. Neobladder was performed employing intestinal tract 36 cm which successively shaped in order form with three horns (left, right, caudal), formed via use mechanical stapler. Both ureters were stented anastomosed left right horn urethral-neobladder anastomosis caudal horn. In initial experience, two male patients non-metastatic muscle-invasive cancer underwent radical followed by reconfiguration. mean age 58.5 ± 3.53 years overall operative 435 35.35 min, average 59 4.24 min. No intraoperative or postoperative complications reported. feasible good alternative traditional orthotopic procedures, permitting us reduce obtain fair