Replicating Florence Intracorporeal Neobladder Technique in Laparoscopic Radical Cystectomy: A Retrospective Study

OBJECTIVE To evaluate retrospectively the feasibility of Florence robotic intracorporeal neobladder technique in laparoscopic radical cystectomy. METHODS Fourteen patients with muscle-invasive bladder cancer underwent laparoscopic radical cystectomy and Florence robotic intracorporeal neobladder between September 2021 and February cations, and follow-up data were collected. RESULTS All operations were successfully completed laparoscopically. The median total operative time was 343 minutes, and the median estimated blood loss was 169.5 mL. No intraoperative complications were observed. The median hospitalization time was 7 days, while the median time to regular diet was 3 days. Clavien Dindo Grade < III complications appeared in five patients within 30 days postoperation. No other complications were noted over the 90 days follow-up. Organ-confined disease was confirmed in 11 patients and locally advanced disease in three patients. At 3 months follow-up, eight and four patients were daytime and night-time continent, respectively. CONCLUSION Replicating Florence robotic intracorporeal neobladder in laparoscopic radical cystectomy is safe, feasible, and repeatable, based on the encouraging perioperative, oncological, and functional outcomes of our study. However, further prospective studies on a larger scale are required to prove its long-term results. UROLOGY 183: 106-110, 2024. (c) 2023 Elsevier Inc. All rights reserved.