Laparoscopic cystectomy and intracorporeal continent urinary diversion (Mainz II) in treatment for interstitial cystitis

Castillo, Octavio A.; Miranda-Utrera, N.

doi:10.1016/j.acuroe.2013.10.013

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…Moreover, in addition to bladder cancer, the indications for the rectosigmoid pouch include urogenital sinus malformation, trauma and bladder exstrophy in both children and adults. [20][21][22] The surgical contraindications for the Mainz Ⅱ rectosigmoid pouch include anal sphincter dysfunction, sigmoid diverticulum, intestinal polyps, planned pelvic radiation therapy for stage T4, diabetes mellitus, and renal, liver, or heart insufficiency.…”

Section: Discussionmentioning

confidence: 99%

Robot‐assisted radical cystectomy with intracorporeal Mainz Ⅱ rectosigmoid pouch for muscle‐invasive bladder cancer

Wang

Xiao

et al. 2021

Robotics Computer Surgery

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Background: To report the surgical techniques and results of robot-assisted radical cystectomy (RARC) with intracorporeal Mainz Ⅱ rectosigmoid pouch at our centre. Methods: Two female patients were treated with this procedure. Construction of the pouch was divided into four main steps: incision of the rectum and sigmoid colon, closure of the posterior wall of the pouch, reimplantation of the ureters at the bottom of pouch in an anti-reflux manner, and closure of the anterior wall. Surgical results and perioperative complications were assessed. Results:The operations were performed completely intracorporeally. No perioperative complications were observed. Postoperatively, high-grade invasive urothelial carcinoma was detected. On postoperative day 60, no bilateral ureteral dilation was detected. Two patients demonstrated total continence. Clinical recurrence was not observed during the follow-up period.Conclusions: With careful patient selection, robot-assisted intracorporeal Mainz Ⅱ rectosigmoid pouch might be a simple minimally invasive surgical technique to be evaluated in repeated applications. K E Y W O R D Sbladder cancer, continent urinary diversion, Mainz Ⅱ rectosigmoid pouch, robot-assisted radical cystectomy | INTRODUCTIONWorldwide, bladder cancer is the second most common cancer of the urinary tract and is associated with high morbidity and mortality. Urothelial carcinoma accounts for nearly 90% of all primary bladder tumours. 1,2 Radical cystectomy (RC) is now considered the gold standard for the treatment of muscle-invasive urothelial bladder cancer or high-grade, recurrent non-muscleinvasive bladder tumours. [2][3][4] However, both open radical cystectomy and laparoscopic radical cystectomy with continent or incontinent urinary diversion are standard procedures associated with a risk for severe complications. Conversely, robot-assisted radical cystectomy (RARC) has been reported to reduce morbidity and mortality after RC. Due to inexperience with intracorporeal urinary diversion, most surgeons have performed RARC with extracorporeal urinary diversion. 4 As the technology develops, urinary diversion should be performed intracorporeally along with RC.

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Section: Discussionmentioning

confidence: 99%

Robot‐assisted radical cystectomy with intracorporeal Mainz Ⅱ rectosigmoid pouch for muscle‐invasive bladder cancer

Wang

Xiao

et al. 2021

Robotics Computer Surgery

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“…With advances in the development of endoscopic technology in the field of urology, laparoscopic radical cystectomy with urinary diversion has become an important treatment for muscle-invasive or high-grade bladder cancers [4][5][6]. Previous studies have reported no significant differences in operative time, intraoperative bleeding and transfusion volume, perioperative complications, postoperative drainage tube indwelling time, and length of hospitalization between laparoscopic radical cystectomy and open radical cystectomy [7,8].…”

Section: Discussionmentioning

confidence: 99%

Clinical Efficacy Analysis of Two Different Surgical Approaches to Laparoscopic Radical Cystectomy with Urinary Diversion for Invasive Bladder Cancer

Tang¹,

Gao²,

Chen³

et al. 2020

JSO

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Objective: The present study aimed to compare the efficacy, and advantages and disadvantages of laparoscopic radical cystectomy + extraperitoneal bilateral ureterocutaneostomy versus laparoscopic radical cystectomy + ileal cystoplasty (Bricker procedure) in the treatment of invasive bladder cancer. Method: Forty-five patients (retrospectively registered) with grade II–III bladder invasive urothelial carcinoma were divided into two groups to compare clinical efficacy, operative duration and blood loss, postoperative intestinal function recovery, length of hospitalization, and complications. Those in the ureterocutaneostomy group (n=25) were treated using laparoscopic radical cystectomy + extraperitoneal bilateral ureterocutaneostomy, while those in the ileal cystoplasty group (n=20) were treated using laparoscopic radical cystectomy + ileal cystoplasty. Results: Laparoscopic radical cystectomy + extraperitoneal bilateral ureterocutaneostomy shortened the operation, improved patient tolerance, and decreased postoperative intestinal function recovery time. However, its long-term clinical efficacy needs further study using larger sample sizes to confirm these results. Conclusion: Results of this study demonstrated that extraperitoneal bilateral ureterocutaneostomy after cystectomy had advantages of less trauma, a shorter learning curve, less surgical bleeding, and quicker postoperative recovery. Although early and mid-term follow-up revealed a slightly higher incidence of hydronephrosis, the severity of complications was not high in most patients. Nevertheless, the long-term clinical efficacy of this procedure needs further study using larger sample sizes.

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“…187 patiënten kregen een supravesicale urinedeviatie met of zonder cystectomie. Urine werd gedevieerd middels ureterocutaneostomie volgens Bricker bij 130 patiënten, middels een heterotope neoblaas (Indiana pouch, ileum neoblaas, Mainz 1 of Kock pouch) bij 49 patiënten en middels een uretero-sigmoïd-rectumpouch (Mainz II) bij acht patiënten ( [11]; zie tab. 1).…”

Section: De Kans Op Succes Van Een Urinedeviatieunclassified

Cystectomie en urinedeviatie bij interstitiële blaasafwijkingen

Nieuwenhuijzen

Sluis²

2023

Tijdschr Urol

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SamenvattingDoel van de studie was evaluatie van de beschikbare literatuur over de kans op succes van urinedeviaties al dan niet met cystectomie bij patiënten met bekkenpijnsyndroom / interstitiële cystitis. Er werden drie reviews gevonden en nul gerandomiseerde trials. In de 21 geselecteerde case series werden in totaal 475 patiënten geïncludeerd. De kans op succes van een urinedeviatie was 81%. Voorspellers voor de kans op succes (aanwezigheid van een Hunnerse laesie en kleine blaascapaciteit) konden niet worden bevestigd vanwege de heterogeniteit van de studies. Urinedeviatie in combinatie met verwijdering van de blaas was na cystectomie succesvol in 96% van de gevallen, na partiële cystectomie in 75% en na urinedeviatie en zonder cystectomie in 79% van de gevallen. Concluderend kan worden gesteld dat harde wetenschappelijke onderbouwing voor of tegen een urinedeviatie bij bekkenpijnsyndroom / interstitiële cystitis ontbreekt, omdat de (best goede) resultaten in de case series alleen kunnen worden geïnterpreteerd met inachtneming van (inclusie)bias. Op grond hiervan moeten therapiekeuzes nog steeds op individuele basis worden gemaakt.

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Laparoscopic cystectomy and intracorporeal continent urinary diversion (Mainz II) in treatment for interstitial cystitis

Cited by 4 publications

References 12 publications

Robot‐assisted radical cystectomy with intracorporeal Mainz Ⅱ rectosigmoid pouch for muscle‐invasive bladder cancer

Robot‐assisted radical cystectomy with intracorporeal Mainz Ⅱ rectosigmoid pouch for muscle‐invasive bladder cancer

Clinical Efficacy Analysis of Two Different Surgical Approaches to Laparoscopic Radical Cystectomy with Urinary Diversion for Invasive Bladder Cancer

Cystectomie en urinedeviatie bij interstitiële blaasafwijkingen

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