Propensity score-matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomy
Summary: Purpose: To compare perioperative results of intracorporeal ileal conduit (ICIC) and intracorporeal orthotopic neobladder (ICONB) following laparoscopic radical cystectomy. Materials and methods: A total of 51 ICIC patients and 32 ICONB patients were included. Propensity score matching was...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-04-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958421005248 |
| _version_ | 1818995698086969344 |
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| author | Houyi Wei Mingshuai Wang Wahafu Wasilijiang Xiaoguang Zhou Liyan Cui Liming Song Nianzeng Xing Yinong Niu |
| author_facet | Houyi Wei Mingshuai Wang Wahafu Wasilijiang Xiaoguang Zhou Liyan Cui Liming Song Nianzeng Xing Yinong Niu |
| author_sort | Houyi Wei |
| collection | DOAJ |
| description | Summary: Purpose: To compare perioperative results of intracorporeal ileal conduit (ICIC) and intracorporeal orthotopic neobladder (ICONB) following laparoscopic radical cystectomy. Materials and methods: A total of 51 ICIC patients and 32 ICONB patients were included. Propensity score matching was performed based on: age, body mass index, gender, age-adjusted Charlson comorbidity index, history of neoadjuvant chemotherapy, history of abdominal surgery, history of smoking and enhanced recovery protocols. Primary outcomes were length of stay and 30-day complications. Secondary outcomes were operative time and estimated blood loss. Results: ICONB was more likely to be performed in younger patients (P < 0.001). Other baseline characteristics in the 2 groups were similar (P > 0.05). ICIC showed shorter length of stay (11 days vs. 14 days, P = 0.031) and faster pelvic drainage tube removal (6 days vs. 9 days, P = 0.014). Operative time, estimated blood loss, 30-day complications were similar in the 2 groups (P > 0.05). However, postoperative fever was significantly lower in ICIC group (19.6% vs. 62.5%, P < 0.001). After propensity score matching, ICIC still showed shorter length of stay (10 days vs. 15 days, P = 0.002) and less postoperative fever (15% vs. 65%, P = 0.003). In multivariable analysis, ICONB was independently associated with length of stay≥14 days and postoperative fever both before and after propensity score matching (P < 0.05). Conclusions: In our research, ICONB was more likely to be performed in younger patients. ICIC and ICONB showed no difference on 30-day complications, operative time and estimated blood loss. ICIC group showed shorter length of stay, faster pelvic drainage tube removal and less postoperative fever. |
| first_indexed | 2024-12-20T21:17:58Z |
| format | Article |
| id | doaj.art-03ce7384760c47c4949aad1d323021cd |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-20T21:17:58Z |
| publishDate | 2022-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-03ce7384760c47c4949aad1d323021cd2022-12-21T19:26:22ZengElsevierAsian Journal of Surgery1015-95842022-04-01454987992Propensity score-matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomyHouyi Wei0Mingshuai Wang1Wahafu Wasilijiang2Xiaoguang Zhou3Liyan Cui4Liming Song5Nianzeng Xing6Yinong Niu7Institute of Urology, Capital Medical University, Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, ChinaInstitute of Urology, Capital Medical University, Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, ChinaDepartment of Urology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, ChinaInstitute of Urology, Capital Medical University, Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, ChinaInstitute of Urology, Capital Medical University, Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, ChinaInstitute of Urology, Capital Medical University, Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, ChinaDepartment of Urology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, ChinaInstitute of Urology, Capital Medical University, Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, China; Corresponding author. 8 Gongren Tiyuchanag Nanlu, Chaoyang District, Beijing, China.Summary: Purpose: To compare perioperative results of intracorporeal ileal conduit (ICIC) and intracorporeal orthotopic neobladder (ICONB) following laparoscopic radical cystectomy. Materials and methods: A total of 51 ICIC patients and 32 ICONB patients were included. Propensity score matching was performed based on: age, body mass index, gender, age-adjusted Charlson comorbidity index, history of neoadjuvant chemotherapy, history of abdominal surgery, history of smoking and enhanced recovery protocols. Primary outcomes were length of stay and 30-day complications. Secondary outcomes were operative time and estimated blood loss. Results: ICONB was more likely to be performed in younger patients (P < 0.001). Other baseline characteristics in the 2 groups were similar (P > 0.05). ICIC showed shorter length of stay (11 days vs. 14 days, P = 0.031) and faster pelvic drainage tube removal (6 days vs. 9 days, P = 0.014). Operative time, estimated blood loss, 30-day complications were similar in the 2 groups (P > 0.05). However, postoperative fever was significantly lower in ICIC group (19.6% vs. 62.5%, P < 0.001). After propensity score matching, ICIC still showed shorter length of stay (10 days vs. 15 days, P = 0.002) and less postoperative fever (15% vs. 65%, P = 0.003). In multivariable analysis, ICONB was independently associated with length of stay≥14 days and postoperative fever both before and after propensity score matching (P < 0.05). Conclusions: In our research, ICONB was more likely to be performed in younger patients. ICIC and ICONB showed no difference on 30-day complications, operative time and estimated blood loss. ICIC group showed shorter length of stay, faster pelvic drainage tube removal and less postoperative fever.http://www.sciencedirect.com/science/article/pii/S1015958421005248Intracorporeal urinary diversionIleal conduitOrthotopic neobladderLength of stayComplication |
| spellingShingle | Houyi Wei Mingshuai Wang Wahafu Wasilijiang Xiaoguang Zhou Liyan Cui Liming Song Nianzeng Xing Yinong Niu Propensity score-matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomy Asian Journal of Surgery Intracorporeal urinary diversion Ileal conduit Orthotopic neobladder Length of stay Complication |
| title | Propensity score-matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomy |
| title_full | Propensity score-matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomy |
| title_fullStr | Propensity score-matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomy |
| title_full_unstemmed | Propensity score-matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomy |
| title_short | Propensity score-matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomy |
| title_sort | propensity score matched analysis for ileal conduit and orthotopic neobladder intracorporeally accomplished following laparoscopic radical cystectomy |
| topic | Intracorporeal urinary diversion Ileal conduit Orthotopic neobladder Length of stay Complication |
| url | http://www.sciencedirect.com/science/article/pii/S1015958421005248 |
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