Initial Experience with Intracorporeal Laparoscopic Radical Cystectomy and Detaenial Sigmoid Neobladder Reconstruction

Xu, Peng; Chen, Binshen; Xu, Aiming; Yuan, Dan; Zhang, Yiming; Liu, Chunxiao

doi:10.1016/j.eururo.2020.10.035

Cited by 9 publications

(7 citation statements)

References 29 publications

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“…The modified operation involves the digestive system and urinary system; therefore, the ability of the patient to leave the bed is limited and bed rest is needed as much as possible to promote wound recovery and prevent bleeding. 5 Our results revealed that passive muscle massage, referred to as intermittent pneumatic compression (IPC) could prevent DVT development in patients lying in bed after the new procedure. The rate of veinous blood flow in bedridden patients may slow down, resulting in blood pooling, which is an important cause of DVT.…”

Section: Discussionmentioning

confidence: 82%

“…The efficacy of laparoscopic reconstruction of detenial sigmoid neobladder at our hospital has already been documented. 5 However, the operation is an extreme stress that can necessitate interventions to prevent the development of postoperative deep vein thrombosis (DVT). These interventions require cooperation from the patient, nursing staff, and the doctor.…”

Section: Introductionmentioning

confidence: 99%

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Effective prediction model for preventing postoperative deep vein thrombosis during bladder cancer treatment

Liu

Shen

et al. 2022

J Int Med Res

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Objective To begin to understand how to prevent deep vein thrombosis (DVT) after an innovative operation termed intracorporeal laparoscopic reconstruction of detenial sigmoid neobladder, we explored the factors that influence DVT following surgery, with the aim of constructing a model for predicting DVT occurrence. Methods This retrospective study included 151 bladder cancer patients who underwent intracorporeal laparoscopic reconstruction of detenial sigmoid neobladder. Data describing general clinical characteristics and other common parameters were collected and analyzed. Thereafter, we generated model evaluation curves and finally cross-validated their extrapolations. Results Age and body mass index were risk factors for DVT, whereas postoperative use of hemostatic agents and postoperative passive muscle massage were significant protective factors. Model evaluation curves showed that the model had high accuracy and little bias. Cross-validation affirmed the accuracy of our model. Conclusion The prediction model constructed herein was highly accurate and had little bias; thus, it can be used to predict the likelihood of developing DVT after surgery.

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Section: Discussionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Effective prediction model for preventing postoperative deep vein thrombosis during bladder cancer treatment

Liu

Shen

et al. 2022

J Int Med Res

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“…30,31 Various orthotopic neobladder reconstruction methods have also been promoted. We selected the sigmoid colon to construct the orthotopic neobladder according to the technique reported by Liu et al 32,33 The sigmoid colon is larger than the ileum and relatively redundant and could be easily brought down to the urethral stump under the robotic system. Less mobilization and U-shape suture could also improve the blood supply of the ureter.…”

Section: Discussionmentioning

confidence: 99%

Robot-Assisted Laparoscopic Management of Bladder/Prostate Rhabdomyosarcoma in Children: Initial Series and 1-Year Outcomes

Пин

Zhou

Cao³

et al. 2021

Journal of Endourology

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Objective: To present our preliminary experiences of robot-assisted laparoscopic radical or partial cystectomy for bladder/prostate rhabdomyosarcoma (B/P RMS) in children. Methods: A retrospective study was conducted with children who underwent robot-assisted laparoscopic surgery for B/P RMS between July 2018 and March 2020 under the approval of IRB of our center. The patient characteristics, tumor position, perioperative information, short time oncologic survival outcomes, and urinary function were recorded and evaluated. Results: We identified eight children who underwent robot-assisted laparoscopic surgery for B/P RMS. Partial cystectomy was performed on all, but one, patients, who underwent radical cystectomy and sigmoid neobladder reconstruction. Preoperative chemotherapy was administered to all eight patients, while preoperative radiotherapy was conducted in three cases, including one patient with a history of pelvic RMS. Unilateral/bilateral ureteral reimplantation was done in four cases in which the patients' ureteral orifices were involved. The mean follow-up time was 13.3 months, and no local recurrence or metastasis was observed. No patient experienced urinary incontinence eventually. Conclusion: Robot-assisted laparoscopic resection for bladder RMS in children is safe and feasible. Preoperative radiotherapy could decrease the tumor volume so that the membranous urethra could be preserved for as long as possible. The oncologic efficacy and the overall survival rate require further investigation and longer follow-up.

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“…LRC with ICUD is a complex procedure [ 41 ]. Due to the limitations of laparoscopy in regard to reconstructive interventions, there is little experience in the field of ICUD, with few cases published in the literature [ 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ] ( Table 4 ).…”

Section: Discussionmentioning

confidence: 99%

Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics

Andraș

Territo

Telecan³

et al. 2021

JCM

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(1) Introduction: The advent of robotic surgery led to the assumption that laparoscopic surgery would be replaced entirely. However, the high costs of robotic surgery limit its availability. The aim of the current study was to assess the feasibility of the 3D laparoscopic approach for the most complex urological procedures. (2) Materials and methods: We included in the current study all patients who had undergone complex 3D laparoscopic procedures in our department since January 2017, including radical nephrectomy (LRN) using a dual combined approach (19 patients), radical nephroureterectomy (LRNU) with bladder cuff excision (13 patients), and radical cystectomy (LRC) with intracorporeal urinary diversion (ICUD) (21 patients). (3) Results: The mean operative time was 345/230/478 min, the complications rate was 26%/30.76%/23.8% and positive surgical margins were encountered in 3/1/1 patients for the combined approach of LRN/LRNU/LRC with ICUD, respectively. A single patient was converted to open surgery during LRN due to extension of the vena cava thrombus above the hepatic veins. After LRC, sepsis was the most common complication and 8 patients were readmitted at a mean of 15.5 days after discharge. (4) Conclusions: In the era of robotic surgery, laparoscopy remains a plausible alternative for most complex oncological cases.

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Initial Experience with Intracorporeal Laparoscopic Radical Cystectomy and Detaenial Sigmoid Neobladder Reconstruction

Cited by 9 publications

References 29 publications

Effective prediction model for preventing postoperative deep vein thrombosis during bladder cancer treatment

Effective prediction model for preventing postoperative deep vein thrombosis during bladder cancer treatment

Robot-Assisted Laparoscopic Management of Bladder/Prostate Rhabdomyosarcoma in Children: Initial Series and 1-Year Outcomes

Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics

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