Robotic Radical Cystectomy with Intracorporeal Studer Pouch Formation for Bladder Cancer: Experience in Ninety-Eight Cases

Gök, Bahri; Atmaca, Ali Fuat; Canda, Abdullah Erdem; Asil, Erem; Koç, Erdem; Ardıcoglu, A.; Balbay, Mevlana Derya

doi:10.1089/end.2019.0036

Cited by 14 publications

(18 citation statements)

References 29 publications

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“…Follow-up assessment of functional outcomes spanned a minimum of 24-months. However, only 61 patients met the criteria for functional assessment [13]. This subset of patients was sorted into male (57) and female (4) and was further classified into bilateral, unilateral, and none nerve sparing groups [13].…”

Section: Continencementioning

confidence: 99%

“…However, only 61 patients met the criteria for functional assessment [13]. This subset of patients was sorted into male (57) and female (4) and was further classified into bilateral, unilateral, and none nerve sparing groups [13]. Overall, 60.6% of the cohort was continent (0-1 pad) after 24 months, 22.9% had mild incontinence (1-2 pads), 9.8% had moderate (3 pads), and 6.5% had severe daytime incontinence (>3pads) [13].…”

Section: Continencementioning

confidence: 99%

“…This subset of patients was sorted into male (57) and female (4) and was further classified into bilateral, unilateral, and none nerve sparing groups [13]. Overall, 60.6% of the cohort was continent (0-1 pad) after 24 months, 22.9% had mild incontinence (1-2 pads), 9.8% had moderate (3 pads), and 6.5% had severe daytime incontinence (>3pads) [13]. In regard to nighttime incontinence, 40.9% had good (dry) nighttime continence, 42.6% had fair (dry + 1 awakening) incontinence, and 16.3% had poor (wet, leakage, urge incontinence) nighttime incontinence.…”

Section: Continencementioning

confidence: 99%

“…In regard to nighttime incontinence, 40.9% had good (dry) nighttime continence, 42.6% had fair (dry + 1 awakening) incontinence, and 16.3% had poor (wet, leakage, urge incontinence) nighttime incontinence. 90.8% of the cohort had bilateral and 4% unilateral nerve preservation [13]. The preferred neo-bladder technique was the Studer pouch.…”

Section: Continencementioning

confidence: 99%

“…Gok et al subdivided a cohort preoperatively into mild sexual dysfunction and no sexual dysfunction using IIEF scores. Among those with mild dysfunction prior to surgery (n = 8), 4 needed postoperative use of PDE-5I and had a mean IIEF score of 11.1+/-4.6 (5-20 range) at follow-up (13). Among those without preoperative sexual dysfunction, 6 required use of PDE5 I, and the mean was 20.6+/-7.4 (8-25 range).…”

Section: Erectile Dysfunctionmentioning

confidence: 99%

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

Daza

Jones

Raven

et al. 2020

BLC

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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

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Section: Continencementioning

confidence: 99%

Section: Continencementioning

confidence: 99%

Section: Continencementioning

confidence: 99%

Section: Continencementioning

confidence: 99%

Section: Erectile Dysfunctionmentioning

confidence: 99%

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

Daza

Jones

Raven

et al. 2020

BLC

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Outcomes and complications of radical cystectomy with ileal conduit urinary diversion: A comparison between open, semi‐robotic and totally robotic surgery

Asil

Canda

Atmaca

et al. 2021

Robotics Computer Surgery

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Background It was aimed to compare open versus robotic‐assisted radical cystectomy (RARC) with intracorporeal ileal conduit (ICIC), versus RARC with extracorporeal ileal conduit (ECIC) formation for bladder cancer. Materials and Methods Open, RARC‐ECIC and RARC‐ICIC groups were compared in terms of patient demographics, operative and postoperative parameters, pathological parameters, complications and functional outcomes. Results Mean operative times were lower in the RARC‐ECIC group (p = 0.004). Mean estimated blood loss was significantly lower (p < 0.01) in the robotic groups. The blood transfusion was lower in RARC‐ICIC groups (p < 0.001). Rates of stage pT3–4 disease were the highest in the RARC‐ICIC group (p = 0.004). LOS was significantly shorter in the RARC‐ICIC group (p = 0.01). Numbers of Clavien 3–5 complications were lower in the robotic groups (p = 0.012). Conclusions RARC and ICIC is a complex procedure involving an increased operation time but with the advantages of lower estimated blood loss, transfusion rates, complications and hospital stays compared with open surgery.

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Robotic-Assisted Radical Cystectomy Outcomes

Hosseini

Mortezavi

2022

Robotic Urologic Surgery

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Robotic Radical Cystectomy with Intracorporeal Studer Pouch Formation for Bladder Cancer: Experience in Ninety-Eight Cases

Cited by 14 publications

References 29 publications

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

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

Outcomes and complications of radical cystectomy with ileal conduit urinary diversion: A comparison between open, semi‐robotic and totally robotic surgery

Robotic-Assisted Radical Cystectomy Outcomes

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