Oncologic Outcomes of Intracorporeal vs Extracorporeal Urinary Diversion After Robot-Assisted Radical Cystectomy: A Multi-Institutional Korean Study
DC Field | Value | Language |
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dc.contributor.author | Ham, Won Sik | - |
dc.contributor.author | Rha, Koon Ho | - |
dc.contributor.author | Han, Woong Kyu | - |
dc.contributor.author | Kwon, Tae Gyun | - |
dc.contributor.author | Kim, Tae Hwan | - |
dc.contributor.author | Jeon, Seung Hyun | - |
dc.contributor.author | Lee, Sang Hyup | - |
dc.contributor.author | Kang, Seok Ho | - |
dc.contributor.author | Kang, Sung Gu | - |
dc.contributor.author | Nam, Jong Kil | - |
dc.contributor.author | Kim, Wansuk | - |
dc.contributor.author | Jeong, Byung Chang | - |
dc.contributor.author | Ku, Ja Hyun | - |
dc.contributor.author | Oh, Jong Jin | - |
dc.contributor.author | Lee, Sang Chul | - |
dc.contributor.author | Lee, Ji Yeol | - |
dc.contributor.author | Hong, Sung Hoo | - |
dc.contributor.author | Lee, Young Goo | - |
dc.contributor.author | Lee, Yong Seong | - |
dc.contributor.author | Park, Sung Yul | - |
dc.contributor.author | Yoon, Young Eun | - |
dc.contributor.author | Kim, Jongchan | - |
dc.date.accessioned | 2024-07-01T03:00:29Z | - |
dc.date.available | 2024-07-01T03:00:29Z | - |
dc.date.issued | 2021-10 | - |
dc.identifier.issn | 0892-7790 | - |
dc.identifier.issn | 1557-900X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74456 | - |
dc.description.abstract | Background: We aimed to compare the oncologic outcomes of intracorporeal urinary diversion (ICUD) and extracorporeal urinary diversion (ECUD) following robot-assisted radical cystectomy (RARC) in patients diagnosed with bladder cancer. Materials and Methods: Medical records of 730 patients who underwent RARC between April 2007 and May 2019 in 11 tertiary referral centers were retrospectively reviewed. We assessed recurrence-free survival (RFS), cancer-specific survival (CSS), and overall survival (OS) in the two groups using the Kaplan-Meier method. Cox regression models were used to identify factors associated with RFS, CSS, and OS. Results: Among 591 patients, neobladder diversion was performed more frequently in the ICUD group (70.8% vs 52.5%, p = 0.001). The median follow-up duration was shorter in the ICUD group than in the ECUD group (16 vs 26 months, p < 0.001). The rates of overall recurrence (36.5% vs 25.5%, p = 0.013) and pelvic recurrence (12.1% vs 5.9%, p = 0.031) were higher in the ECUD group. However, no differences in 5-year RFS (43.2% vs 58.4%, p = 0.516), CSS (79.3% vs 89.7%, p = 0.392), and OS (74.3% vs 81.4%, p = 0.411) were noted between the two groups. Multivariable analysis revealed that when compared to ICUD, ECUD was not associated with RFS (hazard ratio [HR], 0.982; p = 0.920), CSS (HR, 0.568; p = 0.126), and OS (HR, 0.642; p = 0.124). Conclusion: Although there was a difference in recurrence rate between the two groups, multivariable analysis indicated that the diversion technique after RARC did not affect the oncologic outcomes. Large prospective studies with long-term follow-up are warranted to verify the oncologic outcomes of ICUD and ECUD following RARC. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | MARY ANN LIEBERT, INC | - |
dc.title | Oncologic Outcomes of Intracorporeal vs Extracorporeal Urinary Diversion After Robot-Assisted Radical Cystectomy: A Multi-Institutional Korean Study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1089/end.2021.0067 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ENDOUROLOGY, v.35, no.10, pp 1490 - 1497 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000652681300001 | - |
dc.identifier.scopusid | 2-s2.0-85117163318 | - |
dc.citation.endPage | 1497 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 1490 | - |
dc.citation.title | JOURNAL OF ENDOUROLOGY | - |
dc.citation.volume | 35 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | urinary bladder neoplasm | - |
dc.subject.keywordAuthor | robotic surgical procedure | - |
dc.subject.keywordAuthor | cystectomy | - |
dc.subject.keywordAuthor | urinary diversion | - |
dc.subject.keywordPlus | INVASIVE BLADDER-CANCER | - |
dc.subject.keywordPlus | PERIOPERATIVE OUTCOMES | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | LAPAROSCOPY | - |
dc.subject.keywordPlus | RECURRENCE | - |
dc.relation.journalResearchArea | Urology & Nephrology | - |
dc.relation.journalWebOfScienceCategory | Urology & Nephrology | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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