Evidence map›Paper›PMID 41697474›Full record

ArticleAnnals of surgical oncology2026

Robotic Ureteroileal Bypass Repair for Post-Cystectomy Bricker Ureteroenteric Anastomotic Strictures: Stepwise Approach and Clinic Outcomes.

Haichang Li, Yixuan Mou, Zhenghong Liu, Chong Yu, Xiaolong Qi, Qingqing Jiang, Dahong Zhang, Shuai Wang

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Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Haichang Li *Urology and Nephrology Center, Department of Urology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China.
Yixuan Mou *School of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China.
Zhenghong LiuUrology and Nephrology Center, Department of Urology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China.
Chong YuUrology and Nephrology Center, Department of Urology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China.
Xiaolong QiUrology and Nephrology Center, Department of Urology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China.
Qingqing JiangUrology and Nephrology Center, Department of Urology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China.
Dahong ZhangUrology and Nephrology Center, Department of Urology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China. zhangdahongdr@163.com.
Shuai WangUrology and Nephrology Center, Department of Urology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China. zjuwangs@foxmail.com.

Funding

Basic Public Welfare Research Program of Zhejiang Province LBQ20H050001Medical Science and Technology Project of Zhejiang Province No.2024KY702
6 · The paper itself

Abstract

backgroundUreteroileal anastomotic strictures (UASs) occurring after radical cystectomy (RC) with ileal conduit (IC) diversion that are not amenable to endoscopic management often necessitate surgical repair. This study aimed to describe the authors' stepwise approach to robotic surgical repair of UAS and to assess the feasibility, safety, and long-term efficacy of robotic reimplantation for UAS after RC.

methodsA retrospective cohort study analyzed 103 patients who underwent radical cystectomy and subsequently experienced UAS between January 2015 and September 2022, all of whom received a robot-assisted laparoscopic ureteroileal bypass repair technique. The primary endpoints were the collection of perioperative variables and the evaluation of postoperative outcomes such as complications, functional outcomes, and the need for further interventions. Data were analyzed using descriptive statistics to summarize patient characteristics and outcomes.

resultsThe study identified 103 patients and 112 renal units, of which 31 had right-sided, 61 had left-sided, and 9 had bilateral strictures. The mean time from cystectomy to stricture diagnosis was 11.5 ± 3.5 months, and the average time from diagnosis to robotic revision was 10.4 ± 2.4 months. Malignancy was excluded in all strictures. The mean stricture length was 2.2 ± 1.2 cm. The mean operative time was 130.4 ± 28.6 min, with a mean estimated blood loss of 67.5 ± 15.3 ml and a mean hospital stay of 5.0 ± 1.5 days. The 30-day complication rates was 15.6 %, and the 30- to 90-day complication rate was 0, with all complications classified as Clavien grade 1 or 2. During a median follow-up period of 24.3 months, the stricture recurrence rate was 5.8 % and the median time to stricture recurrence was 245 days (interquartile range [IQR], 136-584 days).

conclusionsRobotic reimplantation with a bypass technique after radical cystectomy is a safe and feasible approach for treating ureteroileal stricture. This method demonstrated promising outcomes and warrants further validation through larger prospective studies.

Indexed as

Anastomosis, SurgicalCystectomyIleumPostoperative ComplicationsRobotic Surgical ProceduresUreterUrinary Bladder NeoplasmsUrinary DiversionAgedConstriction, PathologicFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisBladder cancerBypass techniqueRadical cystectomyRobotic surgeryUreteroileal anastomotic strictures

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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.