Publication:
Intracorporeal studer pouch formation with Balbay's technique following robotic radical cystectomy for bladder cancer: experience with 22 cases with oncologic and functional outcomes

dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorBalbay, Mevlana Derya
dc.contributor.kuauthorCanda, Abdullah Erdem
dc.contributor.kuauthorKiremit, Murat Can
dc.contributor.kuauthorKöseoğlu, Ersin
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T11:49:31Z
dc.date.issued2020
dc.description.abstractAim: robot-assisted radical cystectomy (RARC) with intracorporeal Studer pouch formation (ICSPF) is increasingly being performed. Balbay's technique of ICSPF replicates the open approach with the additional advantages of inserting internal Double-J stents. Materials and methods: between June 2011 and April 2019, 22 patients with muscle-invasive bladder cancer were included who underwent RARC and ICSPF with Balbay's technique. Mean follow-up was 35.7 months. Operative, postoperative, and pathological measures, complications, and oncologic and functional outcomes were evaluated. Results: mean operation time, estimated blood loss, mean lymph node yield, and mean duration of hospital stay were 9.2 hours, 361.4 mL, 38.6, and 10.5 days, respectively. Surgical margins were positive in 3 (9.1%) patients. Postoperative pT stages included pT0 (n = 4), pTis (n = 4), pT1 (n = 2), pT2 (n = 1), pT3a (n = 3), pT3b (n = 5), and pT4a (n = 3). Daytime continence outcomes were (patients with >= 1-year follow-up, n = 17) as follows: 10 (58.8%) fully continent, 4 (23.5%) mild, and 3 (17.7%) moderate incontinence. Two-year cancer-specific survival, overall survival, and recurrence-free survival were 68.6%, 66.0%, and 69.7%, respectively. The retrospective nature of the study was the main limitation. Complications (modified Clavien-Dindo classification, n = 32) included 23 minor and 2 major during the perioperative (0-30 days) period and 3 minor and 4 major during the postoperative (31-90 days) period. Ileus developed in 3 patients (9.3%). Readmission rates were 3 (13.6%) and 8 (36.4%) in perioperative and postoperative periods, respectively. Conclusions: RARC and ICSPF by Balbay's technique have acceptable morbidity, excellent surgical and pathological outcomes, and satisfactory oncologic and functional results with additional advantages of exclusion of external stents, exact replication of the open approach, and fewer gastrointestinal complications.
dc.description.fulltextYES
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue3
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipN/A
dc.description.versionPublisher version
dc.description.volume34
dc.identifier.doi10.1089/end.2019.0559
dc.identifier.eissn1557-900X
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR02135
dc.identifier.issn0892-7790
dc.identifier.quartileQ2
dc.identifier.scopus2-s2.0-85082099032
dc.identifier.urihttps://hdl.handle.net/20.500.14288/647
dc.identifier.wos517954500001
dc.keywordsBladder cancer
dc.keywordsRobotic cystectomy
dc.keywordsIntracorporeal urinary diversion
dc.keywordsStuder pouch
dc.language.isoeng
dc.publisherMary Ann Liebert, Inc.
dc.relation.grantnoNA
dc.relation.ispartofJournal of Endourology
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/8781
dc.subjectMedicine
dc.subjectUrology and nephrology
dc.titleIntracorporeal studer pouch formation with Balbay's technique following robotic radical cystectomy for bladder cancer: experience with 22 cases with oncologic and functional outcomes
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorCanda, Abdullah Erdem
local.contributor.kuauthorBalbay, Mevlana Derya
local.contributor.kuauthorKiremit, Murat Can
local.contributor.kuauthorKöseoğlu, Ersin
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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relation.isOrgUnitOfPublication.latestForDiscoveryd02929e1-2a70-44f0-ae17-7819f587bedd
relation.isParentOrgUnitOfPublication17f2dc8e-6e54-4fa8-b5e0-d6415123a93e
relation.isParentOrgUnitOfPublication.latestForDiscovery17f2dc8e-6e54-4fa8-b5e0-d6415123a93e

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