Intracorporeal Versus Extracorporeal Neobladder After Robot-assisted Radical Cystectomy: Results From the International Robotic Cystectomy Consortium

Autor: Lee Richstone, Franco Gaboardi, Prokar Dasgupta, Carl Wijburg, Ahmed A. Hussein, Morgan Rouprêt, Peter Wiklund, Eric H. Kim, Andrew A. Wagner, Ahmed Aboumohamed, Jihad H. Kaouk, Zafardjan Dalimov, Khurshid A. Guru, Zhe Jing, Umar Iqbal
Rok vydání: 2022
Předmět:
Zdroj: Urology. 159:127-132
ISSN: 0090-4295
DOI: 10.1016/j.urology.2021.10.012
Popis: Objectives To compare perioperative and oncologic outcomes of intracorporeal (ICNB) and extracorporeal neobladder (ECNB) following robot assisted radical cystectomy (RARC) from a multi-institutional, prospectively maintained database, the International Robotic Cystectomy Consortium (IRCC). Methods A retrospective review of IRCC database between 2003 and 2020 (3742 patients from 33 institutions across 14 countries) was performed (I-97906). The Cochran-Armitage trend test was used to assess utilization of ICNB over time. Multivariate logistic regression models were fit to evaluate variables associated with receiving ICNB, overall complications, high-grade complications, and readmissions after RARC. Kaplan Meier curves were used to depict recurrence-free (RFS), disease-specific (DSS), and overall survival (OS). Results 411 patients received neobladder, 64% underwent ICNB. ICNB utilization increased significantly over time (p Conclusion Utilization of ICNB increased significantly over time. Patients who underwent RARC and ICNB had shorter hospital stays and fewer 30-d reoperations but were readmitted more frequently compared to those who underwent ECNB.
Databáze: OpenAIRE