Laparoscopic radical cystectomy with novel orthotopic neobladder with bilateral isoperistaltic afferent limbs: initial experience

Xing, Nianzeng; Kang, Ning; Song, Li-Mming; Niu, Yinong; Wang, Ming-Shuai; Zhang, Junhui

doi:10.1590/s1677-5538.ibju.2016.0080

Cited by 8 publications

(6 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, we demonstrated a time efficient neobladder reconstruction and described many surgical improvements which could facilitate the procedure of ICNB without compromising complications. The time efficient neobladder has bilateral isoperistaltic afferent limbs which was reported by us before in the open approach (17). Having bilateral isoperistaltic afferent limbs, the left ureter could be anastomosed with left limb in situ avoiding being exceedingly mobilized.…”

Section: Discussionmentioning

confidence: 63%

Surgical techniques for facilitating laparoscopic intracorporeal orthotopic neobladder: initial experience

et al. 2018

View full text Add to dashboard Cite

Purpose: To describe our technique and outcomes for laparoscopic intracorporeal ileal neobladder (ICNB) reconstruction. Materials and Methods: From April 2014 to November 2016, 21 patients underwent laparoscopic ICNB at our tertiary referral centre. ICNB with bilateral isoperistaltic afferent limbs and several technique improvements were introduced. Demographics, clinical, and pathological data were collected. Perioperative, 1-year oncologic, 1-year Quality of life and 1-year functional outcomes were reported. Results: ICNB was successfully performed in all 21 patients without open conversion and transfusion. Mean operative time was 345.6±66.9 min, including 106±22 min for LRC and PLND and 204±46.4 min for ICNB, respectively. Mean established blood loss was 192±146 mL. The overall incidence of 90-d complication was 33.3%, while major complication occurred in 4.8%. One-year daytime and night-time continence rates were 85.7% and 57.1%, respectively. One patient died from myocardial infarction six months postoperatively, and two patients had lung metastasis five months and six months respectively. Conclusions: We described our experience of 3D LRC with a novel intracorporeal orthotopic ileal neobladder, and the technique improvements facilitate the procedure. However, further studies are required to evaluate long-term outcomes of the intracorporeal neobladder with bilateral isoperistaltic afferent limbs.

show abstract

Section: Discussionmentioning

confidence: 63%

Surgical techniques for facilitating laparoscopic intracorporeal orthotopic neobladder: initial experience

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Description of LRC procedures has been published previously (6). For male patients, the bladder and prostate were put into a specimen bag and left in the abdominal cavity temporarily.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic radical cystectomy with intracorporeal ileal conduit: one center experience and clinical outcomes

Yang

et al. 2019

Int. braz j urol.

View full text Add to dashboard Cite

Purpose:To introduce our experience with intracorporeal ileal conduit and evaluate the safety and feasibility of this endoscopic urinary diversion.Materials and Methods:Between March 2014 and July 2017, thirty-six consecutive patients underwent laparoscopic radical cystectomy with intracorporeal ileal conduit. Patients’ demographic data, perioperative data, 90-days postoperative outcomes and complications were collected. This cohort were divided into two groups of 18 patients each by chronological order of the operations to facilitate comparison of clinical data. Data were evaluated using the students’ T test, Mann-Whitney test and Fisher's Exact test.Results:All surgeries were completed successfully with no conversion. Median total operating time and median intracorporeal urinary diversion time were 304 and 105 minutes, respectively. Median estimated blood loss was 200 mL, and median lymph node yield was 21. Twenty-six Clavien grade < 3 complications occurred within 30-days and 9 occurred within 30-90 days. Five Clavien grade 3-5 complications occurred within 30 days. No statistically significant differences were found between the two groups except for intracorporeal urinary diversion time. At median follow-up of 17.5 (range 3-42) months, 6 patients experienced tumor recurrence/metastasis and 4 of these patients died.Conclusions:Intracorporeal ileal conduit following laparoscopic radical cystectomy is safe, feasible and reproducible. With the accumulation of experience, the operation time can be controlled at a satisfactory level.

show abstract

“…For ECUDs, the ileum was extracted through the 10–15-cm incision below the umbilicus. For ileal conduits [7], a 15-cm-long ileal segment was isolated about 20 cm proximally to the ileocaecum; for orthotopic ileal neobladders [8], we choose a 60-cm-long ileal segment. The ileal segments were detubularised along their anti-mesenteric border to form a new reservoir outside the abdominal cavity.…”

Section: Methodsmentioning

confidence: 99%

Comparison of intracorporeal and extracorporeal urinary diversions after laparoscopic radical cystectomy in females with bladder cancer

Yang

Song

et al. 2019

World J Surg Onc

View full text Add to dashboard Cite

Purpose To compare the peri-operative outcomes of females undergoing laparoscopic intracorporeal urinary diversions (ICUD) and extracorporeal urinary diversions (ECUD) after laparoscopic radical cystectomies (LRC). Patients and methods Thirty-eight females who underwent LRCs and urinary diversions from February 2008 to October 2018 were divided into two groups: the ECUD group (19 patients) and the ICUD group (19 patients). We retrospectively analysed the patients in terms of patients’ demographics, peri-operative outcomes, and oncological follow-ups. Results There were significant differences in the mean operative times between ECUDs and ICUDs (364.6 vs. 297.1 min, p = 0.007), transfusion rates (37% vs. 5%, p = 0.042), time to flatus (5 vs. 3 days, p = 0.020), time to ambulation (2 vs. 1 days, p = 0.022), and duration of postoperative hospital stays (22 vs. 13 days, p = 0.002). The mean lymph node yield was 12.9 in the ECUD group and 18.6 in the ICUD group (p = 0.140). Seven out of 19 patients (37%) in the ECUD group and 6 out of 19 patients (32%) in the ICUD group had positive lymph nodes (p > 0.9). Two out of 19 ECUD patients (11%) and 4 of 19 ICUD patients (21%) had positive surgical margins (p = 0.660). Although there were no differences in major complications at 30 days and in all complications at 90 days, the Clavien grade II complications were significantly different at 30 days (ECUD 8, ICUD 2; p = 0.026). The mean follow-up times were 48.7 months (ECUD group) and 26.4 months (ICUD group). There were no statistically significant differences in estimated glomerular filtration rates postoperatively (p = 0.516). Seven patients had disease metastases (ECUD 2 out of 19, ICUD 5 out of 19; p = 0.405) and 5 died (ECUD 3 out of 19, ICUD 2 out of 19; p > 0.9). Conclusions ICUDs benefit females by having smaller incisions, faster recoveries, and decreased complication rates.

show abstract

Laparoscopic radical cystectomy with novel orthotopic neobladder with bilateral isoperistaltic afferent limbs: initial experience

Cited by 8 publications

References 19 publications

Surgical techniques for facilitating laparoscopic intracorporeal orthotopic neobladder: initial experience

Surgical techniques for facilitating laparoscopic intracorporeal orthotopic neobladder: initial experience

Laparoscopic radical cystectomy with intracorporeal ileal conduit: one center experience and clinical outcomes

Comparison of intracorporeal and extracorporeal urinary diversions after laparoscopic radical cystectomy in females with bladder cancer

Contact Info

Product

Resources

About