Article
Surgery
Xun Lu, Hua Jiang, Dong Wang, Yiduo Wang, Qi Chen, Shuqiu Chen, Ming Chen
Summary: A predictive nomogram for the 90-day urinary tract infection (UTI) risk in bladder cancer patients undergoing radical cystectomy (RC) and urinary diversion was developed and validated. The nomogram showed high accuracy in predicting UTI incidence and improvement in predictive ability.
FRONTIERS IN SURGERY
(2022)
Review
Oncology
Satoshi Katayama, Keiichiro Mori, Benjamin Pradere, Hadi Mostafaei, Victor M. Schuettfort, Fahad Quhal, Reza Sari Motlagh, Ekaterina Laukhtina, Marco Moschini, Nico C. Grossmann, Yasutomo Nasu, Shahrokh F. Shariat, Harun Fajkovic
Summary: This study compared ICUD and ECUD in perioperative and oncological outcomes following RARC, finding that ICUD had lower risks of complications and blood loss, as well as a higher lymph node yield.
INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY
(2021)
Article
Urology & Nephrology
Malte W. Vetterlein, Maria-Josephina Buhne, Hang Yu, Jakob Klemm, Markus von Deimling, Philipp Gild, Mara Koelker, Roland Dahlem, Margit Fisch, Armin Soave, Michael Rink
Summary: This retrospective study analyzed the postoperative morbidity of 97 patients with benign bladder diseases. The results showed that concomitant subtrigonal cystectomy (SC) and abdominopelvic radiotherapy did not increase the occurrence of complications in the perioperative period.
EUROPEAN UROLOGY FOCUS
(2022)
Article
Medical Laboratory Technology
Diansheng Zhou, Jie Gao, Yihao Liao, La Da, Jian Wang, Keke Wang, Jianqiang Zhu, Hailong Hu, Changli Wu, Dawei Tian
Summary: This study evaluated the comprehensive complication index (CCI) and Clavien-Dindo classification (CDC) for short-term postoperative complications in radical cystectomy. The results showed that CCI can better reflect the incidence of complications and is more strongly correlated with postoperative hospital stay. The CUSUM-CCI model can reflect the quality of surgical skill for each surgeon instantaneously.
JOURNAL OF CLINICAL LABORATORY ANALYSIS
(2022)
Article
Surgery
Kai Yang, Yan Ma, Zelong Yang, Yanling Yang, Wenjie Song, Weigang Chen, Weihao Lv, Ruohan Zhang, Yong Chen, Hongyu Qiao
Summary: This study aimed to analyze the risk factors for postoperative complications after surgical treatment of hepatic hemangioma (HH) and provide scientific reference for clinical treatment. The study found that operative duration, intraoperative blood loss (IBL), tumor size, and surgical method are independent risk factors for HH surgery, while serum creatinine (sCRE) is an independent protective factor.
Article
Oncology
Tae Il Noh, Ji Sung Shim, Sung Gu Kang, Jun Cheon, Jong Hyun Pyun, Seok Ho Kang
Summary: This study analyzed the learning curve for robot-assisted radical cystectomy with total intracorporeal urinary diversion. The findings showed that a surgeon needs to perform at least 30 consecutive surgeries to achieve an acceptable level of surgical quality, while it takes at least 140 consecutive surgeries to improve time efficiency.
FRONTIERS IN ONCOLOGY
(2022)
Article
Surgery
Houyi Wei, Mingshuai Wang, Wahafu Wasilijiang, Xiaoguang Zhou, Liyan Cui, Liming Song, Nianzeng Xing, Yinong Niu
Summary: This study compared the perioperative outcomes of intracorporeal ileal conduit (ICIC) and intracorporeal orthotopic neobladder (ICONB) after laparoscopic radical cystectomy. The results showed that ICIC group had shorter length of stay, faster pelvic drainage tube removal, and lower postoperative fever compared to the ICONB group.
ASIAN JOURNAL OF SURGERY
(2022)
Article
Urology & Nephrology
Ashkan Mortezavi, Alessio Crippa, Sebastian Edeling, Sasa Pokupic, Paolo Dell'Oglio, Francesco Montorsi, Frederiek D'Hondt, Alexandre Mottrie, Karel Decaestecker, Carl J. Wijburg, Justin Collins, John D. Kelly, Wei Shen Tan, Ashwin Sridhar, Hubert John, Abdullah Erdem Canda, Christian Schwentner, Erik Peder Ronmark, Peter Wiklund, Abolfazl Hosseini
Summary: A retrospective analysis of 1890 patients who underwent laparoscopic radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD) in 10 European centers found that octogenarians had a lower rate of high-grade complications after surgery. However, they had a higher cancer-specific mortality rate at 90 days postoperatively compared to patients under 80 years old, and a higher other-cause mortality rate within the first year postoperatively.
Article
Urology & Nephrology
F. Presicce, C. Leonardo, G. Tuderti, A. Brassetti, R. Mastroianni, A. Bove, L. Misuraca, U. Anceschi, M. Ferriero, M. Gallucci, G. Simone
Summary: The study evaluated late complications in a large cohort of RARC patients with ICUD, showing that RARC with ICUD treatment is safe and effective in treating muscle-invasive bladder cancer.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Chengyu You, Yuelin Du, Hui Wang, Lei Peng, Tangqiang Wei, Xiaojun Zhang, Xianhui Li, Anguo Wang
Summary: Robot-assisted radical cystectomy with intracorporeal urinary diversion (ICUD) is a safe and feasible alternative to extracorporeal urinary diversion (ECUD), associated with reduced blood transfusion and lower 90-day complications. Further high-quality studies are needed to evaluate the effectiveness of ICUD in terms of oncologic outcomes, functional outcomes, cost, and quality of life.
JOURNAL OF ENDOUROLOGY
(2021)
Article
Oncology
Zhenghong Liu, Bin Zheng, Yuqi Hu, Haichang Li, Xiaowen Qin, Xuanhan Hu, Shuai Wang, Heng Wang, Pu Zhang, Qijun Wo, Li Sun, Yixuan Mou, Feng Liu, Jianxin Cui, Dahong Zhang
Summary: This study retrospectively reviewed 198 patients who underwent radical cystectomy for bladder cancer and found that intraoperative or postoperative blood transfusion, postoperative urinary tract infection, and extracorporeal bladder anastomosis increased the risk of benign uretero-ileal anastomotic stricture (UIAS) after surgery.
FRONTIERS IN ONCOLOGY
(2022)
Article
Urology & Nephrology
Marie-Louise Vrang, Peter Busch Ostergren, Mikkel Mejlgaard Fode, Michael Vangedal, Gitte Wrist Lam
Summary: This study evaluated the oncological and perioperative outcomes of a large cohort of patients who underwent robot-assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD). The results showed that RARC with ICUD is feasible as a standard surgical procedure for bladder cancer, with only a few patients converted to open surgery. Reconstruction with a neobladder was identified as a strong predictor for high-grade complications.
Review
Andrology
Ardenne S. Martin, Anthony T. Corcoran
Summary: Robotic assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD) has become increasingly popular for treating aggressive bladder cancer, showing oncologic adequacy and survival comparable to open radical cystectomy despite technical challenges. Surgeons note ergonomic advantages and faster recovery times with RARC, while there is a need for more data on outcomes of ICUD and cost-effectiveness analyses. This review represents 10 years of accumulating data on techniques and outcomes of RARC with ICUD.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2021)
Article
Oncology
Maximilian Haas, Toni Huber, Christoph Pickl, Bas W. G. van Rhijn, Miodrag Guzvic, Michael Gierth, Johannes Breyer, Maximilian Burger, Roman Mayr
Summary: The true cumulative morbidity after radical cystectomy (RC) seems to be higher than previously reported with Clavien-Dindo Classification (CDC), especially over a 90-day period. Body Mass Index (BMI), various comorbidity indices, and incontinent urinary diversions are independent risk factors for suffering a severe complication after RC.
Article
Urology & Nephrology
Mikolaj Mendrek, Jorn H. Witt, Sergey Sarychev, Nikolaos Liakos, Mustapha Addali, Christian Wagner, Theodoros Karagiotis, Andreas Schuette, Armin Soave, Margit Fisch, Julian Reinisch, Thomas Herrmann, Malte W. Vetterlein, Sami-Ramzi Leyh-Bannurah
Summary: The Comprehensive Complication Index (CCI(R)) is more suitable than the Clavien-Dindo classification (CDC) for capturing 30-day morbidity after robot-assisted radical cystectomy (RARC). The use of CCI(R) allows for personalized patient counseling regarding surgical approach, urinary diversion, and comparability of results between institutions.
WORLD JOURNAL OF UROLOGY
(2022)