Authors:

Keita Nakane¹, Torai Enomoto², Masayuki Tomioka³, Tomoki Taniguchi⁴, Makoto Kawase¹, Kota Kawase¹, Daiki Kato¹, Manabu Takai¹, Koji Iinuma¹, Kensaku Seike⁴, Noriyasu Hagiwara², Hiromi Uno⁴, Kazuya Yuhara³, Takuya Koie¹

¹Department of Urology, Gifu University Graduate School of Medicine, Gifu, Japan

²Department of Urology, Matsunami General Hospital, Hashima-gun, Japan

³ Department of Urology, Japanese Red Cross Takayama Hospital, Takayama, Japan

⁴ Department of Urology, Chuno Kosei Hospital, Seki, Japan

Abstract:

Purpose: This study aimed to evaluate the surgical outcomes and perioperative complications among patients who underwent robot-assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD).

Methods & materials: We retrospectively reviewed the clinical and pathological records of 65 consecutive patients who underwent RARC with ICUD between November 2018 and June 2021 at Gifu University. The patients were divided into three groups according to the type of urinary diversion: ureterocutaneostomy (UC), ileal conduit (IC), and ileal neobladder (NB). The endpoints of this study were surgical outcomes and perioperative complications according to the type of UD.

Results: There were no significant differences between the IC and NB groups with respect to the total operation time. Twenty-seven complications were registered in the first 90 days. The most frequent early complication was urinary tract infection in 11 patients.

Conclusion: Our initial experience with RARC followed by ICUD was favorable, with acceptable surgical outcomes and perioperative complications.

Keywords:

Malignant tumor of the urinary bladder, Robot-assisted radical cystectomy, Robot-assisted intracorporeal urinary diversion

Citation:

Takuya Koie. Favorable surgical outcomes and perioperative complication rates after robotic radical cystectomy and intracorporeal urinary diversion at a single, low-volume center: Initial experience with 65 consecutive cases. World Journal of Clinical Surgery 2021.