Functional Outcomes After Robotic Radical Cystectomy with Intracorporeal Diversion: A Systematic Review

2020 ◽  
Vol 6 (3) ◽  
pp. 329-342
Author(s):  
Jorge Daza ◽  
Tashzna Jones ◽  
Matthew Raven ◽  
Andrew Charap ◽  
John P Sfakianos ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Functional Outcomes ◽  
Invasive Procedure ◽  
Minimal Invasive ◽  
Field Methods ◽  
Intracorporeal Diversion ◽  
One Step ◽  
Robotic Radical Cystectomy ◽  
The Impact

BACKGROUND: Robotic assisted radical cystectomy (RARC) is considered a safe and feasible technique in patients with bladder cancer who are candidates for curative treatment. Intracorporeal urinary diversions (ICUD) represents one step forward into moving to an utterly minimal invasive procedure with the thought that it may improve patients outcomes and time to recovery after the surgical procedure. Overall, RARC has shown to provide similar oncological outcomes as other procedures. The impact of such approach in continence and sexual function of the patients is an important part of an integral health care of this subset of patients. OBJECTIVE: To describe the functional outcomes of RARC with ICUD across different manuscript evaluating this field. METHODS: A systematic literature search related to functional outcomes and diversion technique in RARC with ICUD, was performed on June 2019 using PubMed RESULTS: Out of 22 manuscripts evaluated we included 11 in our analysis. Although the functional outcomes in the studies we have included in this analysis seem to be adequate and consistent, the evidence is poor when comparing RARC with ICUD versus other approaches CONCLUSION: We consider that studies with better designs aiming to elucidate the impact of RARC with ICUD in the quality of life of the patients may improve the quality of the outcomes and would help to draw stronger conclusions

708 Robotic radical cystectomy in the elderly: Is there a benefit from this minimal invasive procedure?

2012 ◽  
Vol 11 (1) ◽  
pp. e708-e708a
Author(s):  
M. Saar ◽  
J. Kamradt ◽  
S. Van Heemskerk ◽  
A. Treiyer ◽  
C. Ohlmann ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Invasive Procedure ◽  
The Elderly ◽  
Minimal Invasive ◽  
Robotic Radical Cystectomy

Is Robot-assisted Radical Cystectomy the Preferred Minimal Invasive Procedure for Non-advanced Bladder Urothelial Carcinoma(T1-T2N0M0)? A Single Center Retrospective Study.

2020 ◽  
Author(s):  
Ming Xiao ◽  
Zhaohui Zhong ◽  
Jiannan Ren ◽  
Wei Xiong
Keyword(s):  
Urothelial Carcinoma ◽  
Radical Cystectomy ◽  
Operation Time ◽  
Invasive Procedure ◽  
Minimal Invasive ◽  
Postoperative Treatment ◽  
Transfusion Rate ◽  
Robot Assisted ◽  
Bladder Urothelial Carcinoma ◽  
Hospitalization Costs

Abstract Background: To investigate the perioperative efficacy and cost of robot-assisted radical cystectomy(RARC) and laparoscopic RC(LRC) in patients with non-advanced bladder urothelial carcinomaMethods: 156 patients with non-advanced bladder urothelial carcinoma undergoing minimally invasive radical cystectomy in our center between January 2015 and April 2020 were included. Perioperative data and hospitalization expenses were extracted from our database. All analyses were performed using SPSS 23.0 software, and p < 0.05 was considered statistically significant.Results: The proportion of male patients was 86.5%(135/156) and the median age was 65(IQR 59-71) years old. RARC had a lower PSM rate (0 vs 5.3%,P=0.051), longer median operation time(370 vs 305 min,P<0.001) and higher median hospitalization cost(20565.2 vs 15532.4$,P<0.001). There were no significant differences in intraoperative transfusion rate, anesthesia resuscitation in ICU, postoperative hospital stay, 30-d complications and postoperative treatment expenses between the two groups(P=0.815,0.715, 0.817,0.92 and 0.543,respectively.)Conclusion: Short operation time and low hospitalization costs are favorable factors for LRC, but RARC may be the preferred surgical procedure for non-advanced bladder urothelial carcinoma considering the potentially low PSM rate.Trial registration: A complete informed consent was obtained from the patient and their families before the surgery.Informed consent was signed for all patients.This study was approved by the Ethics Review Committee of the Second Xiangya Hospital of Central South University

Orthotopic sigmoid neobladder after radical cystectomy: assessment of complications, functional outcomes and quality of life in 82 Japanese patients

2009 ◽  
Vol 106 (3) ◽  
pp. 412-416 ◽  
Author(s):  
Hideaki Miyake ◽  
Junya Furukawa ◽  
Mototsugu Muramaki ◽  
Atsushi Takenaka ◽  
Masato Fujisawa
Keyword(s):  
Quality Of Life ◽  
Radical Cystectomy ◽  
Functional Outcomes ◽  
Japanese Patients

scholarly journals The impact of orthotopic reconstruction on female sexuality and quality of life after radical cystectomy for non-malignant bladder conditions

2021 ◽  
Vol 93 (3) ◽  
pp. 255-261
Author(s):  
Chiara Borghi ◽  
Margherita Manservigi ◽  
Elena Sofia Milandri ◽  
Carmelo Ippolito ◽  
Pantaleo Greco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radical Cystectomy ◽  
Sexual Life ◽  
Surgical Reconstruction ◽  
Female Population ◽  
Reconstructive Procedures ◽  
Female Quality ◽  
Pubmed Database ◽  
The Impact

Objective: To review the literature on the impact on female quality of life and sexual function of orthotopic reconstruction after radical cystectomy for non-malignant bladder conditions. Radical cystectomy is commonly required to treat malignant conditions but may also be considered for the treatment of non-malignant diseases. These heterogeneous group of disorders includes interstitial cystitis, painful bladder syndrome, neurogenic bladder, haemorrhagic/ radiation cystitis, endometriosis and refractory genitourinary fistula. Treatment begins with non-invasive medical therapies but, in non-responder cases, a surgical solution should be considered. Such invasive techniques include urinary diversion and reconstructive procedures that have an impact on healthrelated quality of life, physical, social, and mental status. Materials and methods: This narrative review research was done using the PubMed database up until 2020, July. All papers referring to cystectomy for benign indication were considered. Results: In comparison to other reconstructive options, orthotopic neobladder allows the restoration of a normal self-image and consequently it is the most suitable procedure when a surgical reconstruction is necessary for non-malignant conditions. However, women can face many disorders that impact on everyday life, such as voiding dysfunction or sexual activity problems. Conclusions: Scant data is available about quality of life, sexual life and self-perception in women treated by cystectomy for benign conditions and most literature is dedicated to those indicators in cancer patients. More research is needed to understand the tolerability and the quality of life results of the female population affected by benign conditions undergoing this kind of surgical approach.

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