Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz

Logo MUG-Forschungsportal

Gewählte Publikation:

SHR Neuro Krebs Kardio Lipid

Bier, S; Sim, A; Balbay, D; Todenhöfer, T; Aufderklamm, S; Halalsheh, O; Mischinger, J; Böttge, J; Rausch, S; Stenzl, A; Gakis, G; Canda, E; Schwentner, C.
Treatment of invasive bladder cancer: robot-assisted radical cystectomy and intracorporeal urinary diversion].
Urologe A. 2015; 54(1):41-46
Web of Science PubMed FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Mischinger Johannes
Altmetrics:

Dimensions Citations:

Plum Analytics:
Abstract:
Robot-assisted radical cystectomy (RARC) and intracorporeal urinary diversion are only performed in a few centers of excellence worldwide. Functional and oncologic outcomes are comparable. We report on our experience with RARC and intracorporeal diversion. We retrospectively identified 86 RARCs in 72 men and 14 women (mean age 69.7 years). All patients underwent robot-assisted radical cystectomy and pelvic lymphadenectomy followed by intracorporeal urinary diversion using ileal conduit or neobladder. Of the 86 patients, 24 patients (28%) underwent intracorporeal ileal conduit and 62 patients (72%) underwent intracorporeal neobladder formation. A Studer pouch was created in all who underwent intracorporeal neobladder diversion. Cancer specific survival (CSS) and overall survival (OS) are reported. The mean operative time was 418.9 min (range 205-690 min) and blood loss was 380 ml (range 100-1000 ml). The mean hospital stay was 17.5 days (range 5-62 days). All the surgeries were completed with no open conversions. Minor complications (grade I and II) were reported in 23 patients, while major complications (grade III and above) were reported in 21 patients. The mean nodal yield was 20.3 (range 0-46). Positive margins were found in in 8%. The average follow-up was 31.5 months (range 3-52 months). Continence could be achieved in 88% of patients who received an intracorporeal neobladder. The cancer-specific survival (CSS) and overall survival (OS) were 80% and 70%, respectively. RARC with intracorporeal diversion seems to be safe and reproducible in tertiary centers with robotic expertise. Operative times are acceptable and complications as well as functional and oncologic outcomes are comparable. Further standardization of RARC with intracorporeal diversion may lead to a wider adoption of the approach.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Aged, 80 and over -
Cystectomy - mortality
Female -
Female - epidemiology
Humans -
Lymph Node Excision -
Male -
Middle Aged -
Neoplasm Invasiveness -
Prevalence -
Retrospective Studies -
Risk Factors -
Robotic Surgical Procedures - mortality
Survival Rate -
Treatment Outcome -
Urinary Bladder Neoplasms - mortality
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - therapy
Urinary Diversion - mortality

Find related publications in this database (Keywords)
Radical cystectomy
Neobladder
Ileal conduit
Intracorporeal diversion
Lymphadenectomy
© Meduni Graz Impressum