Intracorporeal versus extracorporeal urinary diversion following robot-assisted radical cystectomy: a meta-analysis, cumulative analysis, and systematic review.

Journal of Robotic Surgery
Karthik TanneruJoseph Costa

Abstract

Over the last decade, the increased utilization of robot-assisted radical cystectomy (RARC) in the surgical treatment of muscle-invasive bladder cancer has led to an uptrend in intracorporeal urinary diversions (ICUD). However, the operative results comparing ICUD to extracorporeal urinary diversion (ECUD) have varied widely. We performed a meta-analysis to analyze perioperative outcomes and complications of ICUD compared to ECUD following RARC. This study is registered at International Prospective Register of Systematic Reviews (PROSPERO) CRD42020164074. A systematic literature review was conducted using PubMed, EMBASE, and Cochrane databases in August 2019. A total of six studies comparing ICUD vs ECUD were identified and meta-analysis was conducted on these studies. In addition, a cumulative analysis was also performed on 83 studies that reported perioperative outcomes after RARC and ICUD or ECUD. The Weighed Mean Difference of operative time and blood loss between ICUD and ECUD group was (16; 95% confidence interval - 34 to 66) and (- 86; 95% confidence interval - 124 to - 48), respectively. ICUD and ECUD had comparable early (30-day) and mid-term (30-90-day) complication rate (RR 1.19; 95% confidence interval 0.71-2.0; p =...Continue Reading

References

Apr 4, 1998·Annals of Surgery·F J VittimbergaM P Callery
Apr 3, 2007·European Urology·Raj S Pruthi, Eric M Wallen
Jul 20, 2007·Journal of Endourology·Khurshid A GuruHyung L Kim
Apr 19, 2008·Journal of Endourology·Benjamin H LowentrittRaju Thomas
May 24, 2008·Journal of Endourology·Michael WoodsEric P Castle
May 28, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sung Yul ParkKoon Ho Rha
Nov 4, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Raj S PruthiEric M Wallen
Dec 3, 2008·Journal of Endourology·Raj S PruthiEric M Wallen
Dec 25, 2008·Yonsei Medical Journal·Sung Yul ParkKoon Ho Rha
Nov 20, 2009·Cancer·John L GoreUNKNOWN Urologic Diseases in America Project
Dec 17, 2009·Scandinavian Journal of Urology and Nephrology·Staffan JahnsonHans Wijkstöm
Jan 19, 2010·European Urology·Raj S PruthiEric M Wallen
Apr 24, 2010·Korean journal of urology·Se-Yun KwonTae Gyun Kwon
Jun 22, 2010·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·D Y JosephsonT G Wilson
Nov 13, 2010·BJU International·Hugh J LaveryRonney Abaza
Jul 12, 2011·Journal of Endourology·Asha D Shah, Ronney Abaza
Dec 7, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Angela B SmithRaj S Pruthi
Jan 10, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Clayton S LauTimothy G Wilson
Feb 16, 2012·Journal of Endourology·Michael A PochKhurshid A Guru
Jul 7, 2012·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Adrian TreiyerMichael Stockle
Feb 12, 2013·European Urology·Muhammad Shamim KhanProkar Dasgupta
Jun 19, 2013·European Urology·Justin W CollinsN Peter Wiklund

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Citations

May 24, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Andrea MinerviniMarco Carini
Aug 10, 2021·Current Opinion in Urology·Antonio CicioneAndrea Tubaro
Sep 11, 2021·Current Opinion in Urology·Ralph Grauer, N Peter Wiklund

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