Introduction: Radical cystectomy (RC) is a complex procedure with a non-negligible morbidity. Decrease in complications may be achieved by implementation of enhanced recovery programs, but adoption of minimally invasive approaches may also contribute to it.¹ In addition, patients seem to have similar long-term oncologic outcomes and health-related quality of life.^2,3 After the increase of robot-assisted RC, there was an uptrend performing urinary diversions intracorporeally, which may provide benefits in terms of smaller incisions, reduced pain, and decreased bowel mobilization, contributing to reduced complications.^4,5 There are few reports of laparoscopic intracorporeal ileal conduit urinary diversion (ICUD).^6–8 This is considered to be a challenging procedure, because of advanced suturing. However, because of increased costs of robotic platforms, pure laparoscopy still prevails in many countries and may be the only alternative to open surgery. Standardization of this technique could reduce surgical difficulties dramatically and provide minimally invasive approach benefits.

中文翻译：

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腹腔镜体内回肠导尿管尿流改道的标准化：循序渐进的技术

简介：根治性膀胱切除术 (RC) 是一项复杂的手术，其发病率不可忽略。通过实施加速康复计划可以减少并发症，但采用微创方法也可能有助于减少并发症。¹此外，患者似乎具有相似的长期肿瘤结果和健康相关的生活质量。^2,3在机器人辅助 RC 增加后，体内进行尿流改道呈上升趋势，这可能会带来更小的切口、减轻疼痛和减少肠道活动的好处，从而有助于减少并发症。^4,5很少有关于腹腔镜体内回肠导管尿流改道 (ICUD) 的报道。^6–8由于高级缝合，这被认为是一个具有挑战性的过程。然而，由于机器人平台的成本增加，纯腹腔镜在许多国家仍然盛行，可能是开放手术的唯一替代方案。这种技术的标准化可以显着减少手术难度，并提供微创方法的好处。