Comparison of open and intracorporeal modified ureterosigmoidostomy (Mainz II) after laparoscopic radical cystectomy with bladder cancer
| Autor: | Junsheng Bao, Junyao Liu, Tianci Du, Shujun Yang, Zhiping Wang, Yao Luo, Duo Zheng, Panfeng Shang, Junqiang Tian, Gongjin Wu, Chuang Luo, Zhongjin Yue |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030232 urology & nephrology Urology lcsh:Surgery Postoperative recovery Urinary Diversion Cystectomy lcsh:RC254-282 Mainz pouch II 03 medical and health sciences Ureterosigmoidostomy 0302 clinical medicine Postoperative Complications Medicine Humans Laparoscopy Retrospective Studies Bladder cancer medicine.diagnostic_test business.industry Urothelial carcinoma of the bladder Research Urinary diversion Significant difference Perioperative lcsh:RD1-811 medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Prognosis Radical cystectomy Treatment Outcome Oncology Urinary Bladder Neoplasms 030220 oncology & carcinogenesis Surgery business |
| Zdroj: | World Journal of Surgical Oncology World Journal of Surgical Oncology, Vol 19, Iss 1, Pp 1-8 (2021) |
| ISSN: | 1477-7819 |
| Popis: | Objective To compare perioperative and oncologic outcomes of open modified ureterosigmoidostomy urinary diversion (OMUUD) and intracorporeal modified ureterosigmoidostomy urinary diversion (IMUUD) following laparoscopic radical cystectomy (LRC). Patients and methods We retrospectively reviewed our single institutional collected database patients undergoing LRC from October 2011 to October 2019. The perioperative characteristics were compared between OMUUD and IMUUD, and overall survival (OS) and progression-free survival (PFS) were evaluated by the Kaplan-Meier method. Results Overall, 84 patients were included. OMUUD and IMUUD were performed in 63 (75%) and 21 (25%) patients, respectively. IMUUD patients demonstrated shorter postoperative length of stay (16.24 ± 3.91 days vs. 18.98 ± 7.41 days, P = 0.033), similar operation time (498.57 ± 121.44 vs. 462.24 ± 99.71, P = 0.175), similar estimated blood loss [400 (200–475) ml vs. 400 (200–700) ml, P = 0.095], and similar overall complication rate within 30 days (19.05% vs. 25.40%, P = 0.848) and 90 days (23.81% vs. 17.46%, P = 0.748). Complete urinary control rate was 87.3% (55/63) in the OMUUD group. In IMUUD, the complete urinary control rate was 90.5% (19/21). There was no significant difference in OS (χ2 = 0.015, P = 0.901) and PFS (χ2 = 0.107, P = 0.743) between the two groups. Conclusion IMUUD postoperative recovery is faster; other perioperative outcomes and oncology results are not significantly different with OMUUD. It is indicated that IMUUD can be utilized safely and effectively in the urinary diversion after LRC. |
| Databáze: | OpenAIRE |
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