Evidence map›Paper›PMID 39820547›Full record

ArticleWorld journal of urology2025

A multicenter study of perioperative and functional outcomes of open vs. robot assisted uretero-enteric reimplantation after radical cystectomy.

Tarek Ajami, Mireia Musquera, Joan Palou, Khurshid A Guru, Ahmed Aly Hussein, Daniel Eun, Abolfazl Hosseini, Josep Maria Gaya, Ronney Abaza, Umar Iqbal and 9 more

Abstract readMulticenter StudyComparative Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 4 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

4 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
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

19 authors.

Tarek AjamiHospital Clinic de Barcelona, Barcelona, Spain.
Mireia MusqueraHospital Clinic de Barcelona, Barcelona, Spain.
Joan PalouDepartment of Urology, Fundació Puigvert, Autonomous University of Barcelona, Barcelona, Spain.
Khurshid A GuruDepartment of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Ahmed Aly HusseinDepartment of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Daniel EunDepartment of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, USA.
Abolfazl HosseiniDepartment of Molecular Medicine and Surgery, Department of pelvic surgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Josep Maria GayaDepartment of Urology, Fundació Puigvert, Autonomous University of Barcelona, Barcelona, Spain.
Ronney AbazaDepartment of Urology, Ohio Health Dublin Methodist Hospital, Columbus, OH, USA.
Umar IqbalDepartment of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Randall LeeDepartment of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, USA.
Ziho LeeDepartment of Urology, Northwestern Memorial Hospital, Chicago, USA.
Matthew LeeDepartment of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, USA.
Carles RaventosDepartment of Urology, Hospital of Vall Hebron, Autonomous University of Barcelona, Barcelona, Spain.
Alberto BredaDepartment of Urology, Fundació Puigvert, Autonomous University of Barcelona, Barcelona, Spain.
Fernando LozanoDepartment of Urology, Hospital of Vall Hebron, Autonomous University of Barcelona, Barcelona, Spain.
Enrique TrillaDepartment of Urology, Hospital of Vall Hebron, Autonomous University of Barcelona, Barcelona, Spain.
Francesc ViguésDepartment of Urology, Hospital Bellvitge, University of Barcelona, Barcelona, Spain.
Albert CarrionDepartment of Urology, Hospital of Vall Hebron, Autonomous University of Barcelona, Barcelona, Spain. acarrionpuig@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOpen ureteroenteric reimplantation (OUER) of ureteroenteric strictures (UESs) is related to important morbidity. Robot-assisted ureteroenteric reimplantation (RUER) has been proposed to provide similar outcomes with lower morbidity. We aimed to compare perioperative and functional outcomes between RUER and OUER.

methodsA retrospective multicenter study of 80 patients, who underwent 82 ureteroenteric reimplantations (17 OUER vs 65 RUER) at 8 institutions between 2009-2021 for benign UESs after radical cystectomy. All the open procedures were performed by the same center in order to compare the robotic approach with a standardized technique. Data were reviewed for demographics, stricture characteristics, and perioperative outcomes. Complication and stricture recurrence rates were compared between both groups.

resultsAmong 82 reimplantations, 44 were left sided (54%) and 12 bilateral (14%). Median time from cystectomy to diagnosis of stricture was 6 months (range 3-18). Baseline characteristics (gender, age, BMI, side, type of urinary diversion and previous abdominal radiotherapy) were comparable between RUER and OUER groups, except for ASA score and rates of prior robotic cystectomy. The 30-day overall postoperative complication rate was 37% in RUER compared to 70.6% in OUER (p = 0.026). Patients who underwent a RUER had statistically significant lower rate of intraoperative blood transfusion (0% vs 12%, p = 0.041), urinary tract infection (12% vs 53%, p < 0.001), bowel injury (0% vs 12%, p = 0.041) and high-grade complications (Clavien III-IV) (4.6% vs 23.5%, p = 0.031). RUER patients had shorter median length of hospital stay (3 days IQR[1-6] vs 6 IQR[3-9], p = 0.018) and lower readmission rate (4.6% vs 29.4%, p = 0.008). After a median follow-up of 23.5 months (8.7-43), 80% of RUER cases were stricture free compared to 90% of OUER (p = 0.42).

conclusionsRUER achieved a success rate comparable to that of open revisions and may provide some advantages in terms of perioperative outcomes. Prospective and larger studies are warranted to prove its superiority compared to the standard open technique.

Indexed as

CystectomyIleumPostoperative ComplicationsReplantationRobotic Surgical ProceduresUreterUreteral ObstructionUrinary Bladder NeoplasmsAgedConstriction, PathologicFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeBladder cancerPostoperative complicationsRadical cystectomyRobot-assisted ureteroenteric reimplantationUreteroenteric stricture

Identifiers

PMID39820547

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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.