首页|Hospital Clinic of Barcelona Reports Findings in Urinary Diversion(Intravenous indocyanine green to evaluate distal ureteral vascularityduring robot-assisted radical cystectomy with intracorporealurinary diversion)
Hospital Clinic of Barcelona Reports Findings in Urinary Diversion(Intravenous indocyanine green to evaluate distal ureteral vascularityduring robot-assisted radical cystectomy with intracorporealurinary diversion)
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By a News Reporter-Staff News Editor at Robotics & Machine Learning DailyNews Daily News – New research on Surgery - Urinary Dive rsion is the subject of a report. According tonews reporting originating from B arcelona, Spain, by NewsRx correspondents, research stated, “The aimof the pres ent study is to assess the role of indocyanine green (ICG) to evaluate distal ur eteral vascularityduring robot-assisted radical cystectomy (RARC) with intracor poreal urinary diversion and its impact onthe incidence of benign ureteroenteri c strictures (UES). The study included patients who underwent RARCfor bladder c ancer between 2018 and 2023.”Our news editors obtained a quote from the research from the Hospital Clinic of Barcelona, “All patientsincluded underwent intracorporeal urinary diversion wit h ileal conduit or neobladder. Bricker techniquewas performed in all ureteroent eric anastomosis. ICG was employed during the study period to evaluateureteral vascularity. We divided patients into 2 groups depending on the utilization of I CG during surgeryand compared demographic, clinicopathological and perioperativ e outcomes, including benign UES rates.We identified 221 patients that underwen t RARC with intracorporeal urinary diversion. Ileal conduit wasperformed in 173 (78.3%) patients and neobladder in 48 (21.7%) cases. A total of 142 (64.3%) and79 (35.7%) patients were in the non-ICG and ICG group, respectively. With a median follow-up of theentire cohort of 21.1 months, there were no differences in the rate of benign UES after RARC between thenon-ICG and the ICG group (p = 0.901). In the non-ICG group, 2 6 (18.3%) patients developed benignUES and in the ICG group 15 (19 .0%) patients. Most of the strictures appeared in the left ureter i n both groups (80.8% non-ICG vs. 66.7% ICG, p = 0.59 9). Median time to stricture diagnosis was 4 months(IQR 3-7.25) for the non-ICG and 3 months (IQR 2-5) for the ICG group (p = 0.091). The ICG grouphad a sligh tly greater length of ureter resected compared with the non-ICG group (1.5 vs. 1 .3 cm, p =0.007).”
BarcelonaSpainEuropeCystectomyEm erging TechnologiesHealth and MedicineMachine LearningRadical CystectomyRobotRoboticsSurgeryUrinary DiversionUrologic Surgical Procedures
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