Utility technique of a totally intracorporeal ileal conduit after robot‐assisted radical cystectomy

Nakane, Keita; Maekawa, Yuka; Iinuma, Koji; Mizutani, Kosuke; Makiyama, Kazuhide; Koie, Takuya

doi:10.1111/iju.14095

Cited by 5 publications

(8 citation statements)

References 5 publications

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“…The surgical procedure for RARC and ICUD has been reported elsewhere in detail [ 9 , 10 , 16 , 17 ]. The RARC was performed in the 25° Trendelenburg position under general anesthesia using the da Vinci Xi surgical system (Intuitive Surgical, Sunnyvale, CA, USA).…”

Section: Methodsmentioning

confidence: 99%

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Efficacy and Safety of the “Trisection Method” Training System for Robot-Assisted Radical Cystectomy at a Single Institution in Japan

Nakane¹,

Yamada²,

Tomioka-Inagawa³

et al. 2022

Current Oncology

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To maintain a surgeon’s concentration, reduce fatigue, and train young surgeons, surgical procedures for bladder cancer are divided into the following parts: robot-assisted radical cystectomy (RARC), bowel reconstruction, and totally intracorporeal urinary diversion (ICUD) (RARC+ICUD). Each part is performed by a different surgeon (Trisection method). We retrospectively evaluated the efficacy and safety of this approach at a single institution in Japan. One hundred consecutive patients who underwent RARC+ICUD at Gifu University Hospital between November 2018 and August 2022 were included in this study. The patient background, surgical outcomes, and postoperative complications were compared between surgeries by first-, second-, and third-generation surgeons. The overall survival (OS) and recurrence-free survival (RFS) were compared between surgeries by each generation. Of the 100 patients, 19, 38, and 43 RARCs were performed by first-, second-, and third-generation surgeons, respectively. There were 35, 25, and 39 patients who underwent ileal conduit, neobladder, and ureterocutaneostomy, respectively. No significant differences were found among the patients respective to the type of ICUDs. Although the first-generation surgeon had a significantly shorter operative time with RARC, the surgical time for bowel reconstruction, length of hospital stays, and incidence of postoperative complications were not significantly different among the groups. Additionally, OS and RFS did not differ significantly among the generations. The “Trisection method” is an effective and safe concept with no difference in outcomes between the generations of surgeons.

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Section: Methodsmentioning

confidence: 99%

“…A 12 mm AIRSEAL ® port (ConMed; Utica, NY, USA) was created in the left outermost part of the abdomen. When using the SureForm™ stapler (Intuitive Surgical, Sunnyvale, CA, USA), a 12 mm trocar for the da Vinci Xi was provided in the third arm and a 6 cm cephalad to the umbilicus [ 10 , 16 ].…”

Section: Methodsmentioning

confidence: 99%

Efficacy and Safety of the “Trisection Method” Training System for Robot-Assisted Radical Cystectomy at a Single Institution in Japan

Nakane¹,

Yamada²,

Tomioka-Inagawa³

et al. 2022

Current Oncology

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“…In addition, three assistant trocars were placed (Figure 1). ICUD was performed using our previously reported surgical technique [10]. The Wallace surgical technique was adopted for uretero-ileal anastomosis [11].…”

Section: Surgical Procedures With Rarc Followed By Icudmentioning

confidence: 99%

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

Nakane¹,

Enomoto²,

Tomioka³

et al. 2021

wjsurgy

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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.

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“…Urinary diversion after radical cystectomy (RC) is the standard surgical treatment for muscle-invasive bladder cancer (MIBC). [1][2][3][4][5][6][7] Of the types of urinary diversion, orthotopic neobladder (ONB) reconstruction is a continent urinary diversion procedure; however, it is not suitable for every patient due to the complexity of the Author Manuscript procedure, increased levels of surgical stress that it incurs, and higher complication rates compared with other noncontinent procedures, such as ileal conduit and cutaneous ureterostomy. [8][9][10] Although the selection of a patient for an ONB reconstruction is strict, the optimal tools for patient selection for ONB are not available except for contraindications such as pre-existing renal or liver impairment, or for bladder-neck to prostatic involvements.…”

Section: Introductionmentioning

confidence: 99%

Frailty is significantly associated with the type of urinary diversion in patients with muscle‐invasive bladder cancer

et al. 2020

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Utility technique of a totally intracorporeal ileal conduit after robot‐assisted radical cystectomy

Cited by 5 publications

References 5 publications

Efficacy and Safety of the “Trisection Method” Training System for Robot-Assisted Radical Cystectomy at a Single Institution in Japan

Efficacy and Safety of the “Trisection Method” Training System for Robot-Assisted Radical Cystectomy at a Single Institution in Japan

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

Frailty is significantly associated with the type of urinary diversion in patients with muscle‐invasive bladder cancer

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