Robot-assisted cystectomy and ileal conduit for neurogenic bladder : comparison of extracorporeal vs intracorporeal urinary diversion

2021 ◽  
Author(s):  
Clément Mazouin ◽  
Jacques Hubert ◽  
Thibault Tricard ◽  
pierre lecoanet ◽  
Camille Haudebert ◽  
...  
Keyword(s):  
Urinary Diversion ◽  
Neurogenic Bladder ◽  
Ileal Conduit ◽  
Robot Assisted ◽  
Intracorporeal Urinary Diversion

scholarly journals The perioperative outcomes of robot-assisted radical cystectomy with intracorporeal urinary diversion compared with laparoscopic radical cystectomy with extracorporeal urinary diversion at a single institution.

2021 ◽  
Author(s):  
Atsuto Suzuki ◽  
Kentaro Muraoka ◽  
Tomoyuki Tatenuma ◽  
Kimito Osaka ◽  
Yumiko Yokomizo ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Ileal Conduit ◽  
Oral Intake ◽  
Length Of Hospital Stay ◽  
Operation Time ◽  
Median Number ◽  
Perioperative Outcomes ◽  
Robot Assisted ◽  
Intracorporeal Urinary Diversion

Abstract Background The number of facilities adapting intracorporeal urinary diversion (ICUD) using robots instead of extracorporeal urinary diversion (ECUD) is increasing, but the clinical evidence is limited. Methods We retrospectively analyzed 26 consecutive patients who underwent ICUD with an ileal conduit following robot-assisted radical cystectomy (RARC) between 2018 and 2020 (RARC + ICUD group), and compared them with 26 consecutive patients who underwent ECUD with an ileal conduit following laparoscopic radical cystectomy (LRC) between 2012 and 2019 (LRC + ECUD group) at Yokohama City University. Results In both groups, the patient background was similar except for age and neoadjuvant chemotherapy. In the RARC + ICUD group vs. the LRC + ECUD group, the median total operation time was 516 min vs. 532.5 min (p = 0.217), the time to cystectomy was 163 min vs. 194.5 min (p = 0.007), and the time of urinary diversion with an ileal conduit was 161 min vs. 201.5 min (p < 0.001). The postoperative maximum value of C-reactive protein was 6.98 mg/L vs. 12.46 mg/L (p = 0.001). The median number of days to oral intake was 3 days vs. 5 days (p = 0.003). The median length of hospital stay was 17 days vs. 32 days (p < 0.001). The postoperative complication rate (within 90 days) was 23.1% vs. 42.3% (p = 0.237). Clavien-Dindo classification ≥ 3 was noted in 1 vs. 4 patients (p = 0.350). The median number of dissected lymph nodes was 20 vs. 15 (p = 0.008). Conclusions RARC + ICUD was superior to LRC + ECUD in terms of time to cystectomy and ileal conduit urinary diversion, invasiveness, and lymph node dissection. We consider ICUD with an ileal conduit following RARC to be the more advantageous procedure.

scholarly journals Outcomes of Intracorporeal Urinary Diversion after Robot-Assisted Radical Cystectomy: Results from the International Robotic Cystectomy Consortium

2018 ◽  
Vol 199 (5) ◽  
pp. 1302-1311 ◽  
Author(s):  
Ahmed A. Hussein ◽  
Paul R. May ◽  
Zhe Jing ◽  
Youssef E. Ahmed ◽  
Carl J. Wijburg ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Robot Assisted ◽  
Robotic Cystectomy ◽  
Intracorporeal Urinary Diversion

Impact of body mass index on robot-assisted radical cystectomy with intracorporeal urinary diversion

2017 ◽  
Vol 120 (5) ◽  
pp. 689-694 ◽  
Author(s):  
Nariman Ahmadi ◽  
Thomas G. Clifford ◽  
Gus Miranda ◽  
Jie Cai ◽  
Monish Aron ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Body Mass ◽  
Robot Assisted ◽  
Intracorporeal Urinary Diversion

Surgery-related Complications of Robot-assisted Radical Cystectomy With Intracorporeal Urinary Diversion

Urology ◽  
2011 ◽  
Vol 77 (4) ◽  
pp. 871-876 ◽  
Author(s):  
Martin C. Schumacher ◽  
Martin N. Jonsson ◽  
Abolfazl Hosseini ◽  
Tommy Nyberg ◽  
Vassilis Poulakis ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Robot Assisted ◽  
Intracorporeal Urinary Diversion

scholarly journals Cystectomy and ileal conduit for neurogenic bladder: Comparison of the open, laparoscopic and robot-assisted approaches

2020 ◽  
Vol 19 ◽  
pp. e690-e691
Author(s):  
B. Peyronnet ◽  
J. Hascoet ◽  
L. Freton ◽  
Z. Khene ◽  
V. Graffeille ◽  
...  
Keyword(s):  
Neurogenic Bladder ◽  
Ileal Conduit ◽  
Robot Assisted
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