Comparison of intracorporeal versus extracorporeal urinary diversion after robot-assisted radical cystectomy at a medium-sized facility

Background The aim of this study is to compare the perioperative outcomes and learning curves between intracorporeal and extracorporeal urinary diversion at our medium-sized institution. Methods Between January 2018 and September 2020, a single surgeon at our institution performed 46 consecutive rob...

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Bibliographic Details
Published in:International journal of clinical oncology 2021-09, Vol.26 (9), p.1714-1721
Main Authors: Iwata, Takehiro, Kobayashi, Yasuyuki, Maruyama, Yuki, Kawada, Tatsushi, Sadahira, Takuya, Oiwa, Yuko, Katayama, Satoshi, Nishimura, Shingo, Takamoto, Atsushi, Sako, Tomoko, Wada, Koichiro, Edamura, Kohei, Araki, Motoo, Watanabe, Masami, Watanabe, Toyohiko, Nasu, Yasutomo
Format: Article
Language:English
Subjects:
Bladder cancer
Blood
Cancer Research
Dissection
Hospitals
Laboratories
Length of stay
Lymph nodes
Lymphatic system
Medicine
Medicine & Public Health
Oncology
Original Article
Patients
Robotic surgery
Robots
Small intestine
Surgery
Surgical Oncology
Urology
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Summary:Background The aim of this study is to compare the perioperative outcomes and learning curves between intracorporeal and extracorporeal urinary diversion at our medium-sized institution. Methods Between January 2018 and September 2020, a single surgeon at our institution performed 46 consecutive robot-assisted radical cystectomies with ileal conduit. We compared the perioperative outcomes between patients who underwent intracorporeal versus extracorporeal urinary diversion. We also investigated learning curves for the first and last 10 patients in each group. Results The extracorporeal group had shorter overall operative time ( P  = 0.003) and urinary diversion time ( P  
ISSN:1341-9625
1437-7772
DOI:10.1007/s10147-021-01957-1