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Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience

Department of Urology, School of Medicine, Akita University, Akita 010-8543, Japan
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Curr. Oncol. 2021, 28(5), 4109-4117; https://doi.org/10.3390/curroncol28050348
Received: 5 September 2021 / Revised: 7 October 2021 / Accepted: 11 October 2021 / Published: 13 October 2021
Benign ureteroenteric anastomosis strictures (UESs) are one of many critical complications that may cause irreversible disability following robot-assisted radical cystectomy (RARC). Previous studies have shown that the incidence rates of UES after RARC can reach 25.3%, with RARC having higher UES incidence rates compared to open radical cystectomy. Various known and unknown factors are involved in the occurrence of UES. To minimize the incidence of UES after RARC, our group has standardized the procedure and technique for intracorporeal urinary diversion by applying the following five strategies: (1) wide delicate dissection of the ureter and preservation of the periureteral tissues; (2) gentle handling of the ureter and security of periureteral tissues at the anastomotic site; (3) use of indocyanine green to confirm good blood supply; (4) standardization of the ample ureteral spatulation length for Wallace ureteroenteric anastomosis through objective measurements; and (5) development of an institutional standardized procedure manual. This review focused on the incidence, etiology, prevention, and management of UES after RARC to bring attention to the incidence of this complication while also proposing standardized surgical procedures to minimize its incidence after RARC. View Full-Text
Keywords: robot assisted radical cystectomy; urothelial cancer; ureteroenteric stricture robot assisted radical cystectomy; urothelial cancer; ureteroenteric stricture
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MDPI and ACS Style

Narita, S.; Saito, M.; Numakura, K.; Habuchi, T. Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience. Curr. Oncol. 2021, 28, 4109-4117. https://doi.org/10.3390/curroncol28050348

AMA Style

Narita S, Saito M, Numakura K, Habuchi T. Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience. Current Oncology. 2021; 28(5):4109-4117. https://doi.org/10.3390/curroncol28050348

Chicago/Turabian Style

Narita, Shintaro, Mitsuru Saito, Kazuyuki Numakura, and Tomonori Habuchi. 2021. "Incidence, Etiology, Prevention and Management of Ureteroenteric Strictures after Robot-Assisted Radical Cystectomy: A Review of Published Evidence and Personal Experience" Current Oncology 28, no. 5: 4109-4117. https://doi.org/10.3390/curroncol28050348

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