ArticleWorld journal of urology2024
Peri- and post-operative outcomes of robot-assisted radical cystectomy after the implementation of the EAU guidelines recommendations for collecting and reporting complications at a high-volume referral center.
Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The incidence and classification of intraoperative adverse events in urological surgery: a systematic review.World journal of urology · 2025Pooled it
- Real-world implementation of robot-assisted radical cystectomy at four Japanese institutions: perioperative outcomes, major complications, and mortality.Journal of robotic surgery · 2026Article
- Surrogacy of intermediate clinical endpoints for overall survival in BCG-naïve high-risk non-muscle-invasive bladder cancer.World journal of urology · 2026Observational
- Perioperative outcomes following open radical cystectomy in the setting of locally advanced bladder cancer.International urology and nephrology · 2026Observational
- Beyond surgical technique: modifiable risk factors and evolving treatment paradigms in bladder cancer surgery.Nature reviews. Urology · 2026Article
- Complications following repeated ureteroscopy for UTUC: The price to pay for nephron-sparing surgery.BJU international · 2026Article
- Intraoperative pelvic drain placement and postoperative outcomes following robot-assisted radical cystectomy: a contemporary NSQIP analysis.Journal of robotic surgery · 2026Article
- Surgical Technique and Perioperative and Postoperative Outcomes for Robot-assisted Radical Cystectomy with Intracorporeal Urinary Diversion Performed with the Hugo RAS Robotic Platform: First Large Case Series by the European Association of Urology Robotic Urology Section Scientific Working Group.European urology open science · 2026Article
- Real-world outcomes of bladder-sparing strategies for BCG-unresponsive non-muscle-invasive bladder cancer: a multicenter study.World journal of urology · 2026Article
- Article
- Extracorporeal vs. intracorporeal urinary diversion at robot-assisted radical cystectomy: adverse in-hospital outcomes.Journal of robotic surgery · 2025Article
- HER2 prognostic values in non-muscle-invasive bladder cancer: a step towards personalized treatment for BCG instillation.Discover oncology · 2025Article
- The effect of chronic kidney disease on adverse in-hospital outcomes after radical cystectomy with ileal conduit urinary diversion.World journal of urology · 2025Article
- Temporal patterns of major postoperative events after radical cystectomy: analysis of 90-day morbidity.World journal of urology · 2025Article
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17 authors.
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Abstract
purposeNo studies relied on a standardized methodology to collect postoperative complications after robot-assisted radical cystectomy (RARC). The aim of our study was to evaluate peri- and post-operative outcomes of patients undergoing RARC adhering to the European Association of Urology (EAU) recommendations for reporting surgical outcomes and using a long postoperative follow-up. MATERIALS AND
methods246 patients who underwent RARC with intracorporal urinary diversion at a single tertiary referral center with a postoperative follow-up ≥ 1 year for survivors. Postoperative outcomes were collected prospectively by interviews done by medical doctors. Complications were scored using the Clavien-Dindo classification (CD), grouped by type and severity (severe: CD score ≥ 3). We described peri- and post-operative outcomes and complication chronological distribution.
resultsOverall, 16 (6.5%) and 225 patients (91%) experienced intraoperative and postoperative complications, respectively. Moreover, 139 (57%) experienced severe complications. The most common any-grade and severe complications were infectious (72%) and genitourinary (35%), respectively. Overall, 52% of complications (358/682) occurred within 10 days from surgery, and 51% of severe complications (106/207) occurred within 35 days. However, 13% of complications (90/682) and 28% of severe complications (59/207) occurred 3 months after surgery. The earliest complications were fever of unknown origins and paralytic ileus (median time-to-complication [mTTC]: 4 days), the latest complications were urinary tract infection (mTTC: 40 days) and hydronephrosis/ureteral obstruction (mTTC: 70 days).
conclusionsThe rate of postoperative complications after RARC is > 90% when a standardized collection method and a long follow-up is implemented. These results should be used to identify potential areas of improvement and for preoperative patient counseling.
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