Evidence map›Paper›PMID 31124038›Full record

ArticleJournal of robotic surgery2020

Robot-assisted radical cystectomy with totally intracorporeal urinary diversion: surgical and early functional outcomes through the learning curve in a single high-volume center.

A Porreca, F Mineo Bianchi, D Romagnoli, D D'Agostino, P Corsi, M Giampaoli, A Salvaggio, L Bianchi, R Schiavina, E Brunocilla and 1 more

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In one paragraph

Article in Journal of robotic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

A PorrecaDepartment of Urology, Policlinico Di Abano, Abano Terme, Italy.
F Mineo BianchiDepartment of Urology, Policlinico Di Abano, Abano Terme, Italy. federico.mineobianchi@gmail.com.ORCID http://orcid.org/0000-0003-3331-0374
D RomagnoliDepartment of Urology, Policlinico Di Abano, Abano Terme, Italy.
D D'AgostinoDepartment of Urology, Policlinico Di Abano, Abano Terme, Italy.
P CorsiDepartment of Urology, Policlinico Di Abano, Abano Terme, Italy.
M GiampaoliDepartment of Urology, Policlinico Di Abano, Abano Terme, Italy.
A SalvaggioDepartment of Urology, Policlinico Di Abano, Abano Terme, Italy.
L BianchiDepartment of Urology, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
R SchiavinaDepartment of Urology, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
E BrunocillaDepartment of Urology, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
W ArtibaniDepartment of Urology, Policlinico Di Abano, Abano Terme, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study is to report surgical and early functional outcomes of first 100 patients undergoing robot-assisted radical cystectomy (RARC) with totally intracorporeal urinary diversion (ICUD) in a single center. The main surgeon (A.P.) attended a modular training program at a referring center mentored by a worldwide-recognized robotic surgeon (P.W.). The program consisted of: (a) 10 h of theoretical lessons; (b) video session (c) step-by-step in vivo modular training. Each procedure was performed as taught, without any technique variation. Demographics, intra-operative data and post-operative complications, along with early functional outcomes, were recorded for each patient. We retrospectively evaluated the first consecutive 100 patients submitted to RARC with totally ICUD from July 2015 to December 2018. Median age at surgery was 69 years (IQR 60-74). 52 (52%), 32 (32%), and 17 (17%) patients received orthotopic neobladder, ileal conduit and uretero-cutaneostomy, respectively. Median operative time was 410 min. A median number of lymph nodes retrieved were 27 and median estimated blood loss was 240 mL with median hospitalization time of 7 days. All procedures were completed successfully without open conversion. A statistically significant improvement was found in the late (30-90 post-operative days) post-operative complications (p = 0.02) and operative time for urinary derivation. At multivariate logistic regression model ASA score ≥ 3 (OR = 4.2, p = 0.002) and number of lymph nodes retrieved (OR = 1.16, p = 0.02) were found to be predictors of 90-day complications. An adequate modular training is paramount to obtain successful results and reduce the learning curve of RARC, as demonstrated by our experience.

Indexed as

Learning CurveAgedCystectomyFemaleHumansMaleRobotic Surgical ProceduresTreatment OutcomeUrinary Bladder NeoplasmsUrinary DiversionComplicationsLearning curveRobotic radical cystectomy

Identifiers

PMID31124038

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.