PD67-04 EARLY AND LATE COMPLICATIONS OF ROBOTIC RADICAL CYSTECTOMY AND INTRACORPOREAL URINARY DIVERSION

Abstract

You have accessJournal of UrologyBladder Cancer: Invasive VII1 Apr 2017PD67-04 EARLY AND LATE COMPLICATIONS OF ROBOTIC RADICAL CYSTECTOMY AND INTRACORPOREAL URINARY DIVERSION Sameer Chopra, Fatima Hussain, Andre Abreu, Nariman Ahmadi, Andre Berger, Inderbir Gill, Monish Aron, and Mihir Desai Sameer ChopraSameer Chopra More articles by this author , Fatima HussainFatima Hussain More articles by this author , Andre AbreuAndre Abreu More articles by this author , Nariman AhmadiNariman Ahmadi More articles by this author , Andre BergerAndre Berger More articles by this author , Inderbir GillInderbir Gill More articles by this author , Monish AronMonish Aron More articles by this author , and Mihir DesaiMihir Desai More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2980AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To present 90 day perioperative complications stratified by urinary diversion type in patients undergoing robotic radical cystectomy (RRC) and completely intracorporeal urinary diversion (ICD). METHODS An IRB approved protocol allowed for review and analysis of data from 216 patients undergoing RRC-ICD between July 2010 to March 2016 from a single institution's bladder cancer database. Perioperative complications were categorized as early (<30 days) or late (0-90 days) and complication severity was classified using the Clavien-Dindo system. RESULTS A total of 174 men and 42 women with a median age (range) of 71 (35-94) years and a median body mass index (range) of 26.8 (16.0-44.5) kg/m2 underwent RRC-ICD. Orthotopic neobladder was performed in 68 patients (31.5%). The median postoperative length of stay (range) was 6 days (2-47). Early (<30 days) and late complications (0-90 days) occurred in 147 (68.1%) and 175 (81.0%) patients, respectively. A total of 30 patients (13.9%) required perioperative blood transfusion(s). Of those, 24 (16.2%) had ileal conduits and 6 (8.8%) had neobladders. The perioperative mortality was 1.9%. Moreover, 7.9 % patients developed an uretero-enteric stricture over a median follow-up (range) of 11.8 months (0.0-65.3). Complications are detailed in the corresponding table. CONCLUSIONS Robotic radical cystectomy with complete intracorporeal urinary diversion is safe and technically feasible with acceptable perioperative morbidity. Prospective randomized trails comparing intracorporeal urinary diversion versus open diversion are necessary to compare peri-operative morbidity. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1277 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Sameer Chopra More articles by this author Fatima Hussain More articles by this author Andre Abreu More articles by this author Nariman Ahmadi More articles by this author Andre Berger More articles by this author Inderbir Gill More articles by this author Monish Aron More articles by this author Mihir Desai More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...