Scholarlink

Background <p>Over the past decade, there has been a significant increase in the use of robot-assisted radical cystectomy (RARC) with fully intracorporeal urinary diversion. Utilizing data from a single, high-volume institutional database, this study aimed to evaluate and compare perioperative outcomes and complications associated with intracorporeal urinary diversion (ICUD) versus extracorporeal urinary diversion (ECUD) following RARC.</p> Methods <p>This study included 405 patients with bladder cancer who underwent RARC at our institution between July 2016 and April 2023. Data were retrospectively reviewed and compared between ICUD and ECUD groups. The 90-day major complications (MC90), 90-day overall complications (OC90), and perioperative and pathological outcomes were evaluated. Statistical analyses were performed using the Pearson chi-square test, Mann-Whitney U test, Kaplan-Meier tests, and multivariable regression analysis.</p> Results <p>Following RARC, 230 patients underwent ICUD and 175 underwent ECUD. No significant differences in demographics or oncological characteristics were observed between the two groups, except for a higher proportion of females in the ICUD group. Notably, ICUD was associated with significantly reduced median operative time (319&#xa0;min vs. 370&#xa0;min, <i>p</i> &lt; 0.01) and lower median estimated blood loss (300&#xa0;ml vs. 500&#xa0;ml, <i>p</i> &lt; 0.01). Postoperative recovery was faster in the ICUD group. However, the OC90, MC90, overall survival, and recurrence-free survival were comparable between the two groups.</p> Conclusions <p>Compared with ECUD, ICUD significantly improved perioperative outcomes, including operative time, estimated blood loss, and postoperative recovery, without compromising long-term oncological survival or complication rates.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Intracorporeal versus extracorporeal urinary diversion during robotic radical cystectomy: outcomes from a large single-institutional study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月21日

查看全文
  • Bing Yan,
  • Yuan Liu,
  • Yuwei Li,
  • Ji Zheng,
  • Peng He,
  • Xuemei Li,
  • Yuting Liu,
  • Xiaozhou Zhou,
  • Zhiwen Chen

摘要

Background

Over the past decade, there has been a significant increase in the use of robot-assisted radical cystectomy (RARC) with fully intracorporeal urinary diversion. Utilizing data from a single, high-volume institutional database, this study aimed to evaluate and compare perioperative outcomes and complications associated with intracorporeal urinary diversion (ICUD) versus extracorporeal urinary diversion (ECUD) following RARC.

Methods

This study included 405 patients with bladder cancer who underwent RARC at our institution between July 2016 and April 2023. Data were retrospectively reviewed and compared between ICUD and ECUD groups. The 90-day major complications (MC90), 90-day overall complications (OC90), and perioperative and pathological outcomes were evaluated. Statistical analyses were performed using the Pearson chi-square test, Mann-Whitney U test, Kaplan-Meier tests, and multivariable regression analysis.

Results

Following RARC, 230 patients underwent ICUD and 175 underwent ECUD. No significant differences in demographics or oncological characteristics were observed between the two groups, except for a higher proportion of females in the ICUD group. Notably, ICUD was associated with significantly reduced median operative time (319 min vs. 370 min, p < 0.01) and lower median estimated blood loss (300 ml vs. 500 ml, p < 0.01). Postoperative recovery was faster in the ICUD group. However, the OC90, MC90, overall survival, and recurrence-free survival were comparable between the two groups.

Conclusions

Compared with ECUD, ICUD significantly improved perioperative outcomes, including operative time, estimated blood loss, and postoperative recovery, without compromising long-term oncological survival or complication rates.