First full intracorporeal robotic cystectomy and neobladder in a renal transplant recipient

Xavier Tillou; Lisa Le Bloa; Vanja Courteille; Clemence Bechade; Thibaut Waeckel

doi:10.1093/jscr/rjaf009

First full intracorporeal robotic cystectomy and neobladder in a renal transplant recipient

J Surg Case Rep. 2025 Jan 20;2025(1):rjaf009. doi: 10.1093/jscr/rjaf009. eCollection 2025 Jan.

Authors

Xavier Tillou¹, Lisa Le Bloa¹, Vanja Courteille², Clemence Bechade³, Thibaut Waeckel¹

Affiliations

¹ UNICAEN, Urology and Transplantation Department, Normandie University, CHU de Caen, Avenue de la Côte de Nacre, Caen 14000, France.
² UNICAEN, Anesthesiology and Critical Care Department, Normandie University, CHU de Caen, Avenue de la Côte de Nacre, Caen 14000, France.
³ UNICAEN, Nephrology Department, Normandie University, CHU de Caen, Avenue de la Côte de Nacre, Caen 14000, France.

Abstract

The literature regarding robotic-assisted radical cystectomy in kidney transplant recipients is limited. We present the first reported case of robotic-assisted radical cystectomy with a full intracorporeal orthotopic neobladder in a kidney transplant recipient. A 36-year-old man was diagnosed with muscle-invasive urothelial carcinoma 12 years after kidney transplantation. His immunosuppressive regimen consisted of everolimus, mycophenolate mofetil, and prednisolone. After cystectomy and left lymph node dissection, we used a U-shaped neobladder technique slightly modified to adapt to the fixed position of the renal transplant ureter. The surgical time was 305 min, and the blood loss was 200 ml. The patient was discharged 16 days after hospitalization with no surgical complications. Histological analysis revealed no UC (pT0N0) with disseminated carcinoma in situ. Seven months after the surgery, no signs of recurrence or distant/lymph node metastasis were observed. No urinary leakage with complete bladder emptying was reported. Serum creatinine clearance rate was 51 ml/min. Immunosuppressive regimen was not modified after surgery.

Keywords: cystectomy; renal transplantation; robotic surgery; urinary diversion; urothelial carcinoma.

Publication types

Case Reports