Uretero-enteric Anastomotic Strictures Following Robotic Radical Cystectomy: Extracorporeal versus Intracorporeal Approaches in the Indocyanine Green Era

Argun Ö. B.

WCE 2022, California, Amerika Birleşik Devletleri, 1 - 04 Ekim 2022, ss.250-251

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Doi Numarası: 10.1089/end.2022.36001.abstrac
  • Basıldığı Şehir: California
  • Basıldığı Ülke: Amerika Birleşik Devletleri
  • Sayfa Sayıları: ss.250-251
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

Introduction & Objective: The aim of this study is to compare the early period(6th week after the catheter removal) iatrogenic benign uretero-enteric anastomotic stricture formation between robotic radical cystectomy with extracorporeal urinary diversion, robotic radical cystectomy with intracorporeal urinary diversion(without utilizing ICG) and robotic radical cystectomy with intracorporeal urinary diversion(with utilizing ICG) Methods: A total of 30 patients(59 renal units) who underwent robotic radical cystectomy with intracorporeal and extracorporeal urinary diversion between 2014-2021 in our clinic included in this study. We retrospectively reviewed the demographic and perioperative results. The primary endpoint of our study was uretero-enteric stricture formation rate at the 6th week after the single J catheter removal. Results: From our study cohort; 13 of these patients(26 renal units) underwent robotic radical cystectomy with extracorporeal urinary diversion, 10 of these patients(20 renal units) underwent robotic radical cystectomy with intracorporeal urinary diversion(without utilizing ICG) and 7 of these patients(13 renal units) underwent robotic radical cystectomy with intracorporeal urinary diversion(with utilizing ICG). The overall incidence of early period uretero-enteric stricture formation(post-operative 6th week after the single J catheter removal) was 8.5%(5 renal units); 11,5% (3 renal units) after extracorporeal approach; 10%(2 renal units) after intracorporeal approach(without utilizing ICG). None of the patients with intracorporeal approach -A250- MP18 Downloaded by 213.194.124.130 from www.liebertpub.com at 03/06/23. For personal use only. (with utilizing ICG) had demonstrable uretero-enteric stricture at post-operative 6th week after the single J catheter removal. Conclusions: : In the ICG era; robotic radical cystectomy with intracorporeal diversion is a promising approach in terms of preventing benign uretero-enteric stricture formation when compared with robotic cystectomy with extracorporeal urinary diversion and intracorporeal urinary diversion without utilizing ICG. Larger prospective studies are required to confirm our outcomes.