Abstract
P128 - Safe transition from extracorporeal to intracorporeal urinary diversion following robot- assisted cystectomy: A recipe for reducing operative time, blood loss and complication rates
Highlights
Radical cystectomy with extended pelvic lymph node dissection is the standard treatment for muscle-invasive and highrisk non-muscle-invasive carcinoma of the bladder [1]
There were no significant differences between the extracorporeal urinary diversion (ECUD) and intracorporeal urinary diversion (ICUD) groups with respect to median age (71 vs 69 years, p = 0.059), gender (85.7% male vs 79.0% male, p = 0.323), median BMI (27.0 vs 26.5, p = 0.885), median American Society of Anesthesiologists (ASA) score (2 vs 2, p = 0.803), receipt of neoadjuvant chemotherapy (13.2 vs 22.0%, p = 0.193) and history of prior pelvic external beam radiotherapy (16.2 vs 6.8%, p = 0.103)
robot-assisted radical cystectomy (RARC) is a technically complex procedure consisting of three parts: extirpation of the bladder, pelvic lymph node dissection, and urinary diversion
Summary
Radical cystectomy with extended pelvic lymph node dissection is the standard treatment for muscle-invasive and highrisk non-muscle-invasive carcinoma of the bladder [1]. Robot-assisted radical cystectomy (RARC) is increasingly being utilized in a number of institutions to reap the benefits of minimally invasive surgery [2,3,4,5] while replicating principles of open surgery and maintaining oncological equivalence [6]. There are limited studies comparing perioperative outcomes of ICUD and ECUD [12,13,14].
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