Tips and tricks for construction of ileal conduit by ICUD

Abstract

  Since robot-assisted radical cystectomy (RARC) was covered by insurance in Japan in 2018, we have performed intracorporeal urinary diversion (ICUD) in about 70 patients. Even with a surgeon and assistant who are experienced in extracorporeal urinary diversion (ECUD), ICUD may be a difficult procedure or may cause unexpected complications during the introduction phase even when it is normally considered as minimally invasive. This procedure may be complex to perform, and there may be points of caution and difficulties that are not present in ECUD. In this article, we will discuss tips to keep in mind when initiating the construction of an ileal conduit by ICUD based on the knowledge and lessons learned from the difficulties and complications our department has experienced.