首页|Royal Liverpool and Broadgreen University Hospitals NHS Foundation Trust Reports Findings in Urinary Diversion (Systematic review comparing uretero-enteric stri cture rates between open cystectomy with ileal conduit,robotic cystectomy with ...)
Royal Liverpool and Broadgreen University Hospitals NHS Foundation Trust Reports Findings in Urinary Diversion (Systematic review comparing uretero-enteric stri cture rates between open cystectomy with ileal conduit,robotic cystectomy with ...)
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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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