Abstract
Objectives:
To report the stricture rate in our contemporary robot-assisted radical cystectomy (RARC) using the slightly modified Wallace technique. 1 –11
Patients and Methods:
This study included 113 patients treated with RARC with intracorporeal urinary diversion performed by a single surgeon between June 2016 and December 2020 at our department and had at least 6 months of follow-up. Patients' demographics and perioperative data were retrieved from our prospectively maintained database and analyzed retrospectively. The reconstruction started with two parallel incisions made in the distal ureters (∼2 cm proximal to the clipped end) and elongated proximally for ∼3 cm. Posterior plate of Wallace is created by suturing the medial wall of the right ureter with the lateral wall of the left ureter using 4/0 Monocryl. The ureters are then stented. A 3/0 double-armed Quill suture is then used to complete the anastomosis between the bowel and the ureters.
Results:
This study included 86 men and 27 women with an average age of 65 ± 10 years. The average time of the anastomosis decreased over time to ∼24 minutes. In a median follow-up of 31 months, only three patients (2.6%) had Ureteroenteric stricture.
Conclusions:
Our standardized Wallace ureteroenteric anastomosis has a relatively low stricture rate.
Patient Consent:
Authors have received and archived patient consent for video recording/publication in advance of video recording of procedure.
No competing financial interests exist.
Runtime of video: 4 mins, 54 secs
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