Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience
Benign ureteroenteric anastomosis strictures (UESs) are one of many critical complications that may cause irreversible disability following robot-assisted radical cystectomy (RARC). Previous studies have shown that the incidence rates of UES after RARC can reach 25.3%, with RARC having higher UES in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Current Oncology |
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| Online Access: | https://www.mdpi.com/1718-7729/28/5/348 |
| _version_ | 1827679795268288512 |
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| author | Shintaro Narita Mitsuru Saito Kazuyuki Numakura Tomonori Habuchi |
| author_facet | Shintaro Narita Mitsuru Saito Kazuyuki Numakura Tomonori Habuchi |
| author_sort | Shintaro Narita |
| collection | DOAJ |
| description | Benign ureteroenteric anastomosis strictures (UESs) are one of many critical complications that may cause irreversible disability following robot-assisted radical cystectomy (RARC). Previous studies have shown that the incidence rates of UES after RARC can reach 25.3%, with RARC having higher UES incidence rates compared to open radical cystectomy. Various known and unknown factors are involved in the occurrence of UES. To minimize the incidence of UES after RARC, our group has standardized the procedure and technique for intracorporeal urinary diversion by applying the following five strategies: (1) wide delicate dissection of the ureter and preservation of the periureteral tissues; (2) gentle handling of the ureter and security of periureteral tissues at the anastomotic site; (3) use of indocyanine green to confirm good blood supply; (4) standardization of the ample ureteral spatulation length for Wallace ureteroenteric anastomosis through objective measurements; and (5) development of an institutional standardized procedure manual. This review focused on the incidence, etiology, prevention, and management of UES after RARC to bring attention to the incidence of this complication while also proposing standardized surgical procedures to minimize its incidence after RARC. |
| first_indexed | 2024-03-10T06:37:12Z |
| format | Article |
| id | doaj.art-05de4ecca21c4e2ea64effbf791715b9 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-10T06:37:12Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-05de4ecca21c4e2ea64effbf791715b92023-11-22T17:55:22ZengMDPI AGCurrent Oncology1198-00521718-77292021-10-012854109411710.3390/curroncol28050348Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal ExperienceShintaro Narita0Mitsuru Saito1Kazuyuki Numakura2Tomonori Habuchi3Department of Urology, School of Medicine, Akita University, Akita 010-8543, JapanDepartment of Urology, School of Medicine, Akita University, Akita 010-8543, JapanDepartment of Urology, School of Medicine, Akita University, Akita 010-8543, JapanDepartment of Urology, School of Medicine, Akita University, Akita 010-8543, JapanBenign ureteroenteric anastomosis strictures (UESs) are one of many critical complications that may cause irreversible disability following robot-assisted radical cystectomy (RARC). Previous studies have shown that the incidence rates of UES after RARC can reach 25.3%, with RARC having higher UES incidence rates compared to open radical cystectomy. Various known and unknown factors are involved in the occurrence of UES. To minimize the incidence of UES after RARC, our group has standardized the procedure and technique for intracorporeal urinary diversion by applying the following five strategies: (1) wide delicate dissection of the ureter and preservation of the periureteral tissues; (2) gentle handling of the ureter and security of periureteral tissues at the anastomotic site; (3) use of indocyanine green to confirm good blood supply; (4) standardization of the ample ureteral spatulation length for Wallace ureteroenteric anastomosis through objective measurements; and (5) development of an institutional standardized procedure manual. This review focused on the incidence, etiology, prevention, and management of UES after RARC to bring attention to the incidence of this complication while also proposing standardized surgical procedures to minimize its incidence after RARC.https://www.mdpi.com/1718-7729/28/5/348robot assisted radical cystectomyurothelial cancerureteroenteric stricture |
| spellingShingle | Shintaro Narita Mitsuru Saito Kazuyuki Numakura Tomonori Habuchi Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience Current Oncology robot assisted radical cystectomy urothelial cancer ureteroenteric stricture |
| title | Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience |
| title_full | Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience |
| title_fullStr | Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience |
| title_full_unstemmed | Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience |
| title_short | Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience |
| title_sort | incidence etiology prevention and management of ureteroenteric strictures after robot assisted radical cystectomy a review of published evidence and personal experience |
| topic | robot assisted radical cystectomy urothelial cancer ureteroenteric stricture |
| url | https://www.mdpi.com/1718-7729/28/5/348 |
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