Abstract
By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News-New research on Surgery-Urinary Dive rsion is the subject of a report.According to news reporting originating from L iverpool,United Kingdom,by NewsRx correspondents, research stated, "Cystectomy is the gold standard treatment for muscle invasive bladder cancer. Robotic cyst ectomy has become increasingly popular owing to quicker post- operative recovery, less blood loss and less postoperative pain." Our news editors obtained a quote from the research from Royal Liverpool and Bro adgreen University Hospitals NHS Foundation Trust, "Urinary diversion is increas ingly being performed with an intracorporeal technique. Uretero-enteric strictur es (UES) cause significant morbidity for patients. UES for open cystectomy is 3- 10%, but the range is much wider (0-25%) for robotic s urgery. We aim to perform systematic review for studies comparing all 3 techniqu es, to assess for ureteric stricture rates. A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-a nalyses (PRISMA) statement (Page et al. in BMJ 29, 2021). PubMed, Scopus and Emb ase databases were searched for the period January 2003 to June 2023 inclusive f or relevant publications.The primary outcome was to identify ureteric stricture rates for studies comparing open cystectomy and urinary diversion, robotic cyste ctomy with extracorporeal urinary diversion (ECUD) and robotic cystectomy with i ntracorporeal urinary diversion (ICUD). Three studies were identified and includ ed 2185 patients in total. The open operation had the lowest stricture rate (9.6 %), compared to ECUD (12.4%) and ICUD (15% ). ICUD had the longest time to stricture (7.55 months), ECUD (4.85 months) and the open operation (4.75 months). Open operation had the shortest operating time . The Bricker anastomoses was the most popular technique. Open surgery has the l owest rates of UES compared to both robotic operations.There is a learning curv e involved with performing robotic cystectomy and urinary diversion, this may ne ed to be considered to decide whether the technique is comparable with open cyst ectomy UES rates."
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