{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:49:48Z","timestamp":1759970988165,"version":"build-2065373602"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To show that robot\u2010assisted laparoscopic cutaneous continent urinary diversion (RALCCUD) is feasible and safe; however, data on clinical outcomes in adults are lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>We conducted a retrospective study of all adults who underwent RALCCUD between 2017 and 2022 at a single tertiary reference centre.<\/jats:p><jats:p>Patient characteristics, clinical information and perioperative outcomes were recorded. All patients underwent pre\u2010 and postoperative urodynamic evaluations.<\/jats:p><jats:p>Functional outcomes were evaluated at 3\u2009months, then yearly. Continence was defined as no stomal or urethral leakage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve patients, mostly women (<jats:italic>n<\/jats:italic>\u00a0=\u200911), median (IQR) age 47.4 (19\u201357)\u00a0years underwent RALCCUD (four Mitrofanoff, four Yang\u2010Monti and four Casale). The main indication for surgery was inability to perform intermittent self\u2010catheterization through the native urethra.<\/jats:p><jats:p>Eleven patients (92%) had neurogenic lower urinary tract disease caused by spinal cord injury or spinal dysraphism.<\/jats:p><jats:p>Median (IQR) operative time was 313 (285\u2013367)\u00a0min. Four patients (33%) underwent concomitant procedures: three supratrigonal cystectomy (SC) with augmentation cystoplasty (AC) and one artificial urinary sphincter (AUS). No conversions to an open approach were required. Median (IQR) follow\u2010up was 51 (40\u201361)\u00a0months. One early postoperative complication occurred (Clavien grade III). The late postoperative complication rate was 17%, with three complications occurring in three patients.<\/jats:p><jats:p>At the last follow\u2010up, all patients could self\u2010catheterize through the tube, and the stomal and urethral continence rate was 100%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>RALCCUD is feasible and safe in adults, with a high rate of stomal and urethral continence and a low complication rate.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.449","type":"journal-article","created":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T02:39:57Z","timestamp":1730342397000},"page":"1269-1277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robot\u2010assisted laparoscopic continent cutaneous urinary diversion in adults: A single\u2010centre study"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6658-2048","authenticated-orcid":false,"given":"Thomas","family":"Loubersac","sequence":"first","affiliation":[{"name":"Department of Urology and Pediatric Urology Nantes Universit\u00e9, Centre Hospitalo\u2010Universitaire de Nantes  Nantes France"},{"name":"Department of Pediatric Urology Nantes Universit\u00e9, Centre Hospitalo\u2010Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Etienne","family":"Lavall\u00e9e","sequence":"additional","affiliation":[{"name":"Oncology Division, Department of Surgery, Faculty of Medicine Centre Hospitalier Universitaire (CHU) de Qu\u00e9bec Research Centre, Universit\u00e9 Laval  QC Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben\u00e9dicte","family":"Reiss","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department Nantes Universit\u00e9, Centre Hospitalo\u2010Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Lefort","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department Nantes Universit\u00e9, Centre Hospitalo\u2010Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Kieny","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department Nantes Universit\u00e9, Centre Hospitalo\u2010Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc\u2010David","family":"Leclair","sequence":"additional","affiliation":[{"name":"Department of Pediatric Urology Nantes Universit\u00e9, Centre Hospitalo\u2010Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2845-9019","authenticated-orcid":false,"given":"J\u00e9rome","family":"Rigaud","sequence":"additional","affiliation":[{"name":"Department of Urology Nantes Universit\u00e9, Centre Hospitalo\u2010Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loic","family":"Le Normand","sequence":"additional","affiliation":[{"name":"Department of Urology Nantes Universit\u00e9, Centre Hospitalo\u2010Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brigitte","family":"Perrouin\u2010Verbe","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department Nantes Universit\u00e9, Centre Hospitalo\u2010Universitaire de Nantes  Nantes France"},{"name":"INSERM U 1235, The Enteric Nervous System in Gut and Brain Disorders Nantes Universit\u00e9  Nantes 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