Functional outcomes after robot‐assisted radical cystectomy: A review of literature

Iqbal, Umar; Durrani, Mohammad; Elsayed, Ahmed S.; Hussein, Ahmed A.; Shigemura, Katsumi; Fujisawa, Masato; Guru, Khurshid A.

doi:10.1111/iju.14495

Cited by 12 publications

(7 citation statements)

References 76 publications

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“…Although intestinal perturbation may suggest presence of fistulas, persistent bowel dysfunction (i.e., diarrhea, constipation, and flatulence) are frequent after RC. 5 In our case, persistent diarrhea post-surgery suggests a non-fistula origin. This case highlights the importance of remaining vigilant in diagnosing postoperative fistulas in patients with urinary diversion, even in the late post-operative period.…”

Section: Discussionmentioning

confidence: 48%

Late-onset enteric fistula following radical cystectomy for bladder cancer: A case report

Baudewyns,

Jabbour,

Bourgeno

et al. 2023

Urology Case Reports

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Section: Discussionmentioning

confidence: 48%

Late-onset enteric fistula following radical cystectomy for bladder cancer: A case report

Baudewyns,

Jabbour,

Bourgeno

et al. 2023

Urology Case Reports

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“…A neobladder can be proposed to mitigate the effects of a RC on patient quality of life and, in particular, on urinary continence (UC) and erectile function (EF). While these parameters have been addressed in previous studies [4–6], there is a lack of data regarding how they evolve over time. Furthermore, clean intermittent catheterisation (CIC) and the variation in its use during follow‐up remain inadequately discussed.…”

Section: Figmentioning

confidence: 99%

Long‐term functional outcomes after robot‐assisted radical cystectomy with intracorporeal ileal orthotopic neobladder

Pellegrino,

Scilipoti,

Rosiello

et al. 2024

BJU International

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“…In particular, there are several studies, in the literature, supporting robot-assisted radical cystectomy (RARC), which has shown comparable oncological and functional outcomes to open radical cystectomy (ORC) ( 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted radical cystectomy with intracorporeal reconstruction of urinary diversion by mechanical stapler: prospective evaluation of early and late complications

et al. 2023

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IntroductionRadical cystectomy with pelvic lymph node dissection is the gold standard treatment for non-metastatic muscle-invasive bladder cancer and high-risk non–muscle-invasive bladder cancer. For years, the traditional open surgery approach was the only viable option. The widespread of robotic surgery led to its employment also in radical cystectomy to reduce complication rates and improve functional outcomes. Regardless of the type of approach, radical cystectomy is a procedure with high morbidity and not negligible mortality. Data available in the literature show how the use of staplers can offer valid functional outcomes, with an acceptable rate of complications shortening the operative time. The aim of our study was to describe the perioperative outcomes and complications associated with robot-assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD) using a mechanical stapler.Material and methodsFrom January 2015 to May 2021, we enrolled patients who underwent RARC with pelvic node dissection and stapled ICUD (ileal conduit or ileal Y-shaped neobladder according to the Perugia ileal neobladder) in our high-volume center. Demographic features, perioperative outcomes and early (≤30 days) and late (>90 days) post-operative complications according to the Clavien–Dindo classification, were recorded for each patient. We also analyzed the potential linear correlation between demographic, pre-operative as well as operative features and the risk of post-operative complications.ResultsOverall, 112 patients who underwent RARC with ICUD were included with a minimum follow-up of 12 months. Intracorporeal Perugia ileal neobladder was performed in 74.1% of cases while ileal conduit was performed in 25.9%. The mean operative time, estimated intraoperative blood loss, and LOS were 289.1 ± 59.7 min, 390.6 ± 186.2 ml, and 17.5 ± 9.8 days, respectively. Early minor and major complications accounted for 26.7% and 10.8%, respectively. Overall late complications were 40.2%. The late most common complications were hydronephrosis (11.6%) and urinary tract infections (20.5%). Stone reservoir formation occurred in 2.7% of patients. Major complications occurred in 5.4%. In the sub-analysis, the mean operative time and the estimated blood loss improved significantly from the first 56 procedures to the last ones.ConclusionRARC with ICUD performed by mechanical stapler is a safe and effective technique. Stapled Y-shaped neobladder did not increase the complication rate.

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Functional outcomes after robot‐assisted radical cystectomy: A review of literature

Cited by 12 publications

References 76 publications

Late-onset enteric fistula following radical cystectomy for bladder cancer: A case report

Late-onset enteric fistula following radical cystectomy for bladder cancer: A case report

Long‐term functional outcomes after robot‐assisted radical cystectomy with intracorporeal ileal orthotopic neobladder

Robot-assisted radical cystectomy with intracorporeal reconstruction of urinary diversion by mechanical stapler: prospective evaluation of early and late complications

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