The impact of orthotopic neobladder vs ileal conduit urinary diversion after cystectomy on the survival outcomes in patients with bladder cancer: A propensity score matched analysis

Su, Xiuyun; Wu, Kuan-Hung; Wang, Shuo; Su, Wei; Li, Chuanyin; Li, Bingkun; Mao, Xiangming

doi:10.1002/cam4.3404

Cited by 14 publications

(17 citation statements)

References 22 publications

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“…However, due to the complexity of the combined surgery, the long operation time, and the large trauma to the patient's body, the incidence of postoperative complications is at a high level, which is detrimental to the patient's postoperative recovery and adversely affects the surgical outcome. Therefore, finding reliable indicators to predict the incidence of postoperative complications in patients with bladder cancer has become one of the hot spots in clinical research [ 6 ].…”

Section: Prefacementioning

confidence: 99%

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Preoperative Nutritional Risk Assessment for Predicting Complications after Radical Cystectomy plus Urinary Diversion for Bladder Cancer

Wang

Wang²,

Liu

et al. 2022

Emergency Medicine International

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Objective. To investigate the predictive value of preoperative nutritional risk assessment on the occurrence of complications after radical cystectomy plus urinary diversion for bladder cancer. Methods. Retrospective analysis of 178 patients with bladder cancer between July 2010 and March 2022 who underwent elective radical cystectomy plus urinary diversion was conducted. The occurrence of complications within 90 days after surgery was counted for all patients, and the postoperative complication rates of patients with and without nutritional risk were compared and analyzed. Also, logistic regression analysis was used to assess the relative risk coefficients of NRS-2002 and the occurrence of postoperative complications. Results. Comparison of clinicopathological characteristics and surgical conditions between the two groups showed that the proportion of combined diabetes mellitus, operative time, and postoperative hospital stay were higher in the nutritional risk group (NRS ≥3 score) than in the no nutritional risk group (NRS <3 score), while the preoperative blood albumin (ALB) level was lower than that in the no nutritional risk group (NRS <3 score). The results of multifactorial risk regression analysis showed that low preoperative ALB level and high NRS score were independent risk factors for postoperative complications in bladder cancer ( P < 0.05 ). Conclusion. The NRS-2002 nutritional risk score has good predictive value for the incidence of postoperative complications in patients with bladder cancer and provides a scientific basis for perioperative nutritional support.

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Section: Prefacementioning

confidence: 99%

“…erefore, nding reliable indicators to predict the incidence of postoperative complications in patients with bladder cancer has become one of the hot spots in clinical research [6].…”

Section: Prefacementioning

confidence: 99%

Preoperative Nutritional Risk Assessment for Predicting Complications after Radical Cystectomy plus Urinary Diversion for Bladder Cancer

Wang

Wang²,

Liu

et al. 2022

Emergency Medicine International

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“…Consequently, we believe that the type of diversion would work as a confounding variable rather than a predictor. In a recent study comparing the type of urinary diversion on survival outcomes, the authors have found that a young man with early disease was likely to receive orthotopic neobladder and hence achieved a better survival [ 28 ]. However, validation in other types of urinary diversion will ensure the broader applicability of the model.…”

Section: Discussionmentioning

confidence: 99%

The impact of chemotherapy-naïve open radical cystectomy delay and perioperative transfusion on the recurrence-free survival: A perioperative parameters-based nomogram

Harraz

Elkarta

Zahran

et al. 2024

Asian Journal of Urology

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“…Convincing evidence suggests that compared to the non-continent conduit method, continent orthotopic neobladder offers a better quality of life (QoL) and greater physical function while having comparable oncologic outcomes ( 1 – 4 ). Despite the promising results, the worldwide trend of orthotopic neobladder performance is currently in the stationary phase, and it is at least partly due to considerable early phase complication rates in orthtotopic neobladder patient group ( 3 , 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

NBCA-Lipiodol Mixture Embolization of Persistent Urine Leakage After Orthotopic Neobladder Formation: Techniques and Outcomes

et al. 2022

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ObjectiveTo show the effective and successful technical approach of percutaneous embolization for persistent urine leakage that occurred after orthotopic neobladder formation.Materials and MethodsWe retrospectively reviewed patients who underwent percutaneous embolization of N-butyl cyanoacrylate (NBCA) and lipiodol mixture after orthotopic neobladder formation at the Seoul National University Hospital (Seoul, Korea) from 1 January 2018 to 31 December 2020.ResultsAmong total of 182 patients of neobladder formation, five patients (four males and one female) were enrolled in this study, and their median age was 61.0 years (interquartile range (IQR): 42.5–69.5 years). All the patients showed persistent urine leakage at the neobladder-urethral anastomosis site and percutaneous drainage was primarily performed. The median time to perform percutaneous embolization was 40 days (IQR: 31.5–71.5 days) postoperatively. Elective two-staged embolization was performed in three cases for large diameter with a large fluid-filled cavity, while re-embolization was needed for delayed recurrence of urine leakage in two cases. Complete resolution of urine leakage was seen in all the cases and the median time to leakage closure was 55 days (IQR: 27.5–82.5 days). The median follow-up period after leakage closure was 26 months (IQR: 15.5–36.4 months), and embolization material-related bladder stone was a noticeable complication (two cases) during follow-up, which was removed endoscopically within 1 year after embolization. All patients' quality of life (EQ-5D-5L score) was well-maintained during the entire period.ConclusionsPersistent urine leakage after neobladder formation can be effectively managed with percutaneous embolization of “dumbbell technique” by reinforcing the closure of leakage tract from inner opening to the outer opening even for large diameter (>1 cm).

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The impact of orthotopic neobladder vs ileal conduit urinary diversion after cystectomy on the survival outcomes in patients with bladder cancer: A propensity score matched analysis

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 14 publications

References 22 publications

Preoperative Nutritional Risk Assessment for Predicting Complications after Radical Cystectomy plus Urinary Diversion for Bladder Cancer

Preoperative Nutritional Risk Assessment for Predicting Complications after Radical Cystectomy plus Urinary Diversion for Bladder Cancer

The impact of chemotherapy-naïve open radical cystectomy delay and perioperative transfusion on the recurrence-free survival: A perioperative parameters-based nomogram

NBCA-Lipiodol Mixture Embolization of Persistent Urine Leakage After Orthotopic Neobladder Formation: Techniques and Outcomes

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