Robotic radical cystectomy and constructing a bladder

Robotic radical cystectomy is a minimally invasive surgical method for treating bladder cancer and has been used in this patient's case, who had a bladder tumor. The robotic arms simulated the surgeon's movements, increasing the accuracy of the surgery and giving the patient a more efficient surgery. The patient also enjoyed a shorter hospital stay, fewer complications, and a faster recovery time.

This surgical procedure allows the surgeon to make smaller incisions to preserve the delicate vital tissue, nerves, and muscle tissue. The surgical robot provides Prof. Mahmoud AbdElHakim, Professor of Urology, Cairo University, a superior imaging level, surgical versatility during bladder removal, and, if necessary, a reconstructive procedure, which is what happened with this case. Robotic-assisted cystectomy required a urine diversion and the reconstruction of a urine reservoir responsible for storing urine until it is emptied.

By providing high-resolution 3D imaging to the surgeon, Prof. Mahmoud AbdElHakim distinguishes the vital muscles and delicate nerve tissues surrounding the surgical area, providing the opportunity to preserve them. The robotic tools also offer the surgeon a skill not available with traditional laparoscopic instruments. By taking advantage of the surgical robot, Prof. Mahmoud AbdElHakim and his medical team were able to dissect and reconstruct the bladder easily.

• Minimal damage to vital muscle and delicate nerve tissue due to the surgery.

• A shorter hospital stay and a faster return to previous activity and urinary control.

• Less visible scars because it relies on precise and small abdominal incisions rather than a large wound as in traditional surgeries.

• Reduced risk of blood loss and the need for a blood transfusion.

• Reducing the chances of post-surgical infection.

• Reducing the chances of developing incontinence or impotence after surgery.

• Reducing the chances of other complications usually associated with cystectomy.

• Minimal pain and discomfort after surgery, and thus less need for basic painkillers than other treatments.

• The unprecedented technology of the surgical robot provides the surgeon with a high-definition and three-dimensional view of the procedure, in addition to assisting the robot in the cosmetic suturing step of the fine incisions.

Bladder cancer was diagnosed by urine screening for cancer cells under a microscope, and by performing a cystoscopy, which is an examination of the bladder by inserting a thin tube equipped with a light lens through the urethra into the bladder.

The patient got a short recovery period and was able to practice his daily life within a short time because he adhered to the instructions of Prof. Mahmoud AbdElHakim, Professor of Urology, Cairo University, the most important of which are:

• Continue walking when you return home, gradually increasing the distance.

• Planned breaks during the day.

• Walk up and down stairs slowly.

• Avoid heavy lifting or strenuous activity for several weeks. 

• Avoid bending over. In cases of necessity, one can bend at the knees to pick up the object.

• Avoid driving till directed by the doctor.

• Gently wash the wound with soap and water, rinse it, and leave it to dry. 

• Return to previous eating habits after eating frequent small meals in the first period after surgery.

• Regular hydration will aid in the removal of mucus from the urine. Mucus is produced by the portion of the intestine that has been used to make the urine reservoir. Fluid consumption keeps mucus thin and prevents blockages.