Abstract: PD67-04
Sources of Funding: none

Introduction

To present 90 day perioperative complications stratified by urinary diversion type in patients undergoing robotic radical cystectomy (RRC) and completely intracorporeal urinary diversion (ICD).

Methods

An IRB approved protocol allowed for review and analysis of data from 216 patients undergoing RRC-ICD between July 2010 to March 2016 from a single institution’s bladder cancer database. Perioperative complications were categorized as early (<30 days) or late (0-90 days) and complication severity was classified using the Clavien-Dindo system.

Results

A total of 174 men and 42 women with a median age (range) of 71 (35-94) years and a median body mass index (range) of 26.8 (16.0-44.5) kg/m2 underwent RRC-ICD. Orthotopic neobladder was performed in 68 patients (31.5%). The median postoperative length of stay (range) was 6 days (2-47). Early (<30 days) and late complications (0-90 days) occurred in 147 (68.1%) and 175 (81.0%) patients, respectively. A total of 30 patients (13.9%) required perioperative blood transfusion(s). Of those, 24 (16.2%) had ileal conduits and 6 (8.8%) had neobladders. The perioperative mortality was 1.9%. Moreover, 7.9 % patients developed an uretero-enteric stricture over a median follow-up (range) of 11.8 months (0.0-65.3). Complications are detailed in the corresponding table.

Conclusions

Robotic radical cystectomy with complete intracorporeal urinary diversion is safe and technically feasible with acceptable perioperative morbidity. Prospective randomized trails comparing intracorporeal urinary diversion versus open diversion are necessary to compare peri-operative morbidity.

Funding

none