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| Format: | Artículo Open Access |
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Wiley
2024
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| Online Access: | https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.449 |
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| author | Thomas Loubersac Etienne Lavallée Benédicte Reiss Marc Lefort Pierre Kieny Marc‐David Leclair Jérome Rigaud Loic Le Normand Brigitte Perrouin‐Verbe Chloé Lefevre Marie‐Aimée Perrouin‐Verbe |
| author_facet | Thomas Loubersac Etienne Lavallée Benédicte Reiss Marc Lefort Pierre Kieny Marc‐David Leclair Jérome Rigaud Loic Le Normand Brigitte Perrouin‐Verbe Chloé Lefevre Marie‐Aimée Perrouin‐Verbe Thomas Loubersac Etienne Lavallée Benédicte Reiss Marc Lefort Pierre Kieny Marc‐David Leclair Jérome Rigaud Loic Le Normand Brigitte Perrouin‐Verbe Chloé Lefevre Marie‐Aimée Perrouin‐Verbe |
| collection | Wiley Open Access |
| contents | Robot‐assisted laparoscopic continent cutaneous urinary diversion in adults: A single‐centre study Thomas Loubersac Etienne Lavallée Benédicte Reiss Marc Lefort Pierre Kieny Marc‐David Leclair Jérome Rigaud Loic Le Normand Brigitte Perrouin‐Verbe Chloé Lefevre Marie‐Aimée Perrouin‐Verbe BJUI Compass AbstractObjectivesTo show that robot‐assisted laparoscopic cutaneous continent urinary diversion (RALCCUD) is feasible and safe; however, data on clinical outcomes in adults are lacking.Materials and methodsWe conducted a retrospective study of all adults who underwent RALCCUD between 2017 and 2022 at a single tertiary reference centre.Patient characteristics, clinical information and perioperative outcomes were recorded. All patients underwent pre‐ and postoperative urodynamic evaluations.Functional outcomes were evaluated at 3 months, then yearly. Continence was defined as no stomal or urethral leakage.ResultsTwelve patients, mostly women (n = 11), median (IQR) age 47.4 (19–57) years underwent RALCCUD (four Mitrofanoff, four Yang‐Monti and four Casale). The main indication for surgery was inability to perform intermittent self‐catheterization through the native urethra.Eleven patients (92%) had neurogenic lower urinary tract disease caused by spinal cord injury or spinal dysraphism.Median (IQR) operative time was 313 (285–367) min. Four patients (33%) underwent concomitant procedures: three supratrigonal cystectomy (SC) with augmentation cystoplasty (AC) and one artificial urinary sphincter (AUS). No conversions to an open approach were required. Median (IQR) follow‐up was 51 (40–61) months. One early postoperative complication occurred (Clavien grade III). The late postoperative complication rate was 17%, with three complications occurring in three patients.At the last follow‐up, all patients could self‐catheterize through the tube, and the stomal and urethral continence rate was 100%.ConclusionRALCCUD is feasible and safe in adults, with a high rate of stomal and urethral continence and a low complication rate. 10.1002/bco2.449 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1002/bco2.449 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_bco2_449 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Robot‐assisted laparoscopic continent cutaneous urinary diversion in adults: A single‐centre study Thomas Loubersac Etienne Lavallée Benédicte Reiss Marc Lefort Pierre Kieny Marc‐David Leclair Jérome Rigaud Loic Le Normand Brigitte Perrouin‐Verbe Chloé Lefevre Marie‐Aimée Perrouin‐Verbe BJUI Compass Robot‐assisted laparoscopic continent cutaneous urinary diversion in adults: A single‐centre study Thomas Loubersac Etienne Lavallée Benédicte Reiss Marc Lefort Pierre Kieny Marc‐David Leclair Jérome Rigaud Loic Le Normand Brigitte Perrouin‐Verbe Chloé Lefevre Marie‐Aimée Perrouin‐Verbe BJUI Compass AbstractObjectivesTo show that robot‐assisted laparoscopic cutaneous continent urinary diversion (RALCCUD) is feasible and safe; however, data on clinical outcomes in adults are lacking.Materials and methodsWe conducted a retrospective study of all adults who underwent RALCCUD between 2017 and 2022 at a single tertiary reference centre.Patient characteristics, clinical information and perioperative outcomes were recorded. All patients underwent pre‐ and postoperative urodynamic evaluations.Functional outcomes were evaluated at 3 months, then yearly. Continence was defined as no stomal or urethral leakage.ResultsTwelve patients, mostly women (n = 11), median (IQR) age 47.4 (19–57) years underwent RALCCUD (four Mitrofanoff, four Yang‐Monti and four Casale). The main indication for surgery was inability to perform intermittent self‐catheterization through the native urethra.Eleven patients (92%) had neurogenic lower urinary tract disease caused by spinal cord injury or spinal dysraphism.Median (IQR) operative time was 313 (285–367) min. Four patients (33%) underwent concomitant procedures: three supratrigonal cystectomy (SC) with augmentation cystoplasty (AC) and one artificial urinary sphincter (AUS). No conversions to an open approach were required. Median (IQR) follow‐up was 51 (40–61) months. One early postoperative complication occurred (Clavien grade III). The late postoperative complication rate was 17%, with three complications occurring in three patients.At the last follow‐up, all patients could self‐catheterize through the tube, and the stomal and urethral continence rate was 100%.ConclusionRALCCUD is feasible and safe in adults, with a high rate of stomal and urethral continence and a low complication rate. 10.1002/bco2.449 http://creativecommons.org/licenses/by/4.0/ |
| title | Robot‐assisted laparoscopic continent cutaneous urinary diversion in adults: A single‐centre study |
| topic | BJUI Compass |
| url | https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.449 |