Evidence map›Paper›PMID 37864612›Full record

ArticleInternational journal of clinical oncology2024

Comparison of perioperative outcomes and complications between intracorporeal, extracorporeal, and hybrid ileal conduit urinary diversion during robot-assisted radical cystectomy: a comparative propensity score-matched analysis from nationwide multi-institutional study in Japan.

Shuichi Morizane, Keita Nakane, Toshiaki Tanaka, Kenji Zennami, Kentaro Muraoka, Shin Ebara, Noriyoshi Miura, Koichi Uemura, Ryuta Sobu, Akio Hoshi and 13 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 6% of its field
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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. [Application of whole-process nutritional management based on IKAP theory in patients undergoing radical cystectomy with ileal conduit diversion].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Article
  7. Article
  8. Article
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  10. Review
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

23 authors at 13 institutions in 1 country.

Shuichi MorizaneDivision of Urology, Department of Surgery, Faculty of Medicine, Tottori University, 86 Nishi-cho, Yonago, Tottori, 683-8503, Japan. morizane@tottori-u.ac.jp.ORCID http://orcid.org/0000-0003-0344-5892
Keita NakaneDepartment of Urology, Gifu University Graduate School of Medicine, Yanagido, Gifu, Japan.
Toshiaki TanakaDepartment of Urology, Sapporo Medical University School of Medicine, Chuo-ku, Sapporo, Japan.
Kenji ZennamiDepartment of Urology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Kentaro MuraokaDepartment of Urology, School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan.
Shin EbaraDepartment of Urology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Noriyoshi MiuraDepartment of Urology, Ehime University Graduate School of Medicine, Matsuyama, Ehime, Japan.
Koichi UemuraDepartment of Urology, Yokohama Minami Kyousai Hospital, Yokohama, Japan.
Ryuta SobuDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Akio HoshiDepartment of Urology, Faculty of Medicine and Graduate School of Comprehensive Human Science, University of Tsukuba, Ibaraki, Japan.
Rikiya TaokaDepartment of Urology, Faculty of Medicine, Kagawa University, Takamatsu, Kagawa, Japan.
Mikio SugimotoDepartment of Urology, Faculty of Medicine, Kagawa University, Takamatsu, Kagawa, Japan.
Hisashi NomaDepartment of Data Science, The Institute of Statistical Mathematics, Tachikawa, Tokyo, Japan.
Hiroshi SunadaAdvanced Medicine, Innovation and Clinical Research Center, Tottori University Hospital, Yonago, Tottori, Japan.
Hiroyuki NishiyamaDepartment of Urology, Faculty of Medicine and Graduate School of Comprehensive Human Science, University of Tsukuba, Ibaraki, Japan.
Tomonori HabuchiDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Ichiro IkedaDepartment of Urology, Yokohama Minami Kyousai Hospital, Yokohama, Japan.
Takashi SaikaDepartment of Urology, Ehime University Graduate School of Medicine, Matsuyama, Ehime, Japan.
Kazuhide MakiyamaDepartment of Urology, School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan.
Ryoichi ShirokiDepartment of Urology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Naoya MasumoriDepartment of Urology, Sapporo Medical University School of Medicine, Chuo-ku, Sapporo, Japan.
Takuya KoieDepartment of Urology, Gifu University Graduate School of Medicine, Yanagido, Gifu, Japan.
Atsushi TakenakaDivision of Urology, Department of Surgery, Faculty of Medicine, Tottori University, 86 Nishi-cho, Yonago, Tottori, 683-8503, Japan.
Akita University · JPEhime University · JPFujita Health University · JPGifu University · JPKagawa University · JPSapporo Medical University · JPTottori University · JPUniversity of Tsukuba · JPYokohama City University · JPYokohama Minami Kyosai Hospital · JPHiroshima City Asa Citizens Hospital · JPThe Institute of Statistical Mathematics · JPTottori University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the impact of different urinary diversion (UD) techniques on the peri- and postoperative complications of robot-assisted radical cystectomy (RARC) with ileal conduit.

methodsWe retrospectively analyzed 373 patients undergoing RARC with ileal conduit at 11 institutions in Japan between April 2018 and December 2021. Propensity score weighting was performed to adjust for confounding factors such as age, sex, body mass index, performance status, American Society of Anesthesiologists score, previous abdominal surgery, neoadjuvant chemotherapy, and preoperative high T stage (≥ cT3) and high N stage (≥ cN1). Perioperative complications were then compared among three groups: extracorporeal, intracorporeal, and hybrid urinary diversion (ECUD, ICUD, and HUD, respectively).

resultsA total of 150, 68, and 155 patients received ECUD, HUD, and ICUD, respectively. Bowel reconstruction time and UD time were significantly shorter in the ECUD group (p < 0.001), and console time was significantly longer and blood loss was significantly higher in the ICUD group (p < 0.001). For postoperative complications (Clavien-Dindo Classification grade ≥ 3), surgical site infection (p = 0.004), pelvic abscess (p = 0.013), anastomotic urine leak (p = 0.007), and pelvic organ prolapse (p = 0.011) significantly occurred in the ECUD group. For all grades, ileus was more common in the HUD group, whereas anastomotic stricture was more common in the ECUD group compared with the other groups (p < 0.05).

conclusionsSevere complications did not increase after HUD and ICUD compared with ECUD; however, console time tended to be longer and blood loss was slightly higher during RARC.

Indexed as

RoboticsRobotic Surgical ProceduresUrinary Bladder NeoplasmsUrinary DiversionAnastomotic LeakCystectomyHumansJapanPostoperative ComplicationsPropensity ScoreRetrospective StudiesTreatment OutcomeRadical cystectomyRoboticsUrinary diversion

Identifiers

PMID37864612
OpenAlexW4387845160

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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.