Radical retropubic cystectomy

Traver, Michael A.; Vaughan, E. Darracott; Porter, Christopher R.

doi:10.1111/j.1464-410x.2009.09043.x

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…A Jackson Pratt drain was placed in the retroperitoneum a few cm away from the anastomosis. Ureteric catheters were sequentially removed at 7 and 8 days if the ileus resolved, while the Jackson-Pratt drain was removed one day later, after checking the drain creatinine level (12). Following local protocol, loopogram studies were performed at 3, 6, and 12 months, and then yearly, to assess for ureteroenteric anastomotic strictures (8).…”

Section: Surgical Techniquementioning

confidence: 99%

Modified Wallace anastomotic technique reduces ureteroenteric stricture rates after ileal conduit urinary diversion

et al. 2020

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Purpose: To compare perioperative outcomes, complications and anastomotic stricture rate in a contemporary series of patients who underwent open radical cystectomy (RC) with modifi ed Wallace anastomotic technique versus traditional ileal conduit. Materials and methods: Study enrolled 180 patients, of whom 140 were randomized and underwent RC; seventy were randomized to group I and the seventy to the group II. For the primary objective, we hypothesized that the rate of ureteroenteric strictures would be at least 20 % lower in the second group. Secondary end points included rate of anastomotic leak, surgical time, deterioration of the upper tract, intraoperative blood loss and patient-reported quality of life (HRQOL). The modifi ed Wallace 1 technique involved eversion of the ureteral plate and bowel mucosa edges, which were anastomosed together in running fashion, while the outher anastomotic wall was augmented with sero-serosal interrupted sutures. Results: The mean (SD) follow-up time was 26.1 (5.7) months in group I and 25.2 (4.8) months in group II, during which, anastomotic stricture was observed in 8 patients (12%) from the fi rst and 2 patients (3%) from the second group (p < 0.05). The anastomotic leakage rate was signifi cantly higher in fi rst group (17% vs. 8.5%, p< 0.05), while patient-reported HRQOL outcomes were similar between groups after the 12 month follow-up period. Conclusions: By using a modifi ed Wallace technique, we were able to signifi cantly lower anastomotic stricture and anastomotic leakage rates, which are major issues in minimizing both short-and long-term postoperative complications.

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Section: Surgical Techniquementioning

confidence: 99%

Modified Wallace anastomotic technique reduces ureteroenteric stricture rates after ileal conduit urinary diversion

et al. 2020

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“…In selected cystectomy cases, where the tumour is located at the bladder base or bladder outlet, radical cystoprostatectomy for bladder cancer can be performed in a completely extraperitoneal manner [8,9]. Performing an extraperitoneal radical retropubic cystectomy offers the advantage of leaving the peritoneal envelope closed during most of the procedure, which only has to be invaded for construction of the ileal conduit.…”

Section: Bjui B J U I N T E R N a T I O N A Lmentioning

confidence: 99%

“…The technique may be disadvantageous in this setting due to an increased risk of lymphocele formation. We performed extended pelvic lymphadenectomy up to the level of the aortic bifurcation, with a mean (range) lymph node yield of 18 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) nodes. Drains have been left indwelling until drain output was < 50 mL on two consecutive days, and were removed consistently on postoperative days 5-9.…”

Section: Commentsmentioning

confidence: 99%