{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:55:46Z","timestamp":1789149346856,"version":"build-2803163510"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare outcomes in patients undergoing robotic-assisted radical cystectomy (RARC) with urinary diversion for bladder cancer with either the single-port (SP) or multiport (MP) robotic platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      All patients who underwent SP and MP RARC at our institution between January 2018 and January 2023 were retrospectively reviewed. Postoperative analgesia was administered by a departmentwide narcotic stewardship protocol, and inpatient and outpatient narcotic use was tracked. The available preoperative clinical, operative, and postoperative outcomes were analyzed using\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test, chi-square, and Fischer exact statistical measures. Kaplan\u2013Meier analysis with log-rank testing was used to determine the freedom from high-grade (Clavien\u2013Dindo grade \u22653) postoperative complications stratified by SP or MP robotic use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Overall, 96 patients underwent RARC with urinary diversion at our institution, with 49 MP and 47 SP procedures performed. Preoperative clinical parameters including age, body mass index, prior abdominal surgery, and use of neoadjuvant chemotherapy were similar between the two groups. Patients undergoing SP RARC had a shorter operative time (386.0\u2009\u00b1\u200990.9 minutes\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      453.6\u2009\u00b1\u200994.8 minutes,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and faster return of bowel function (3.4\u2009\u00b1\u20091.4 days\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      4.5\u2009\u00b1\u20092.2 days,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01). However, both cohorts had similar length of hospitalization, postoperative narcotic use, pathologic staging, and rate of positive surgical margin. Within 3 months postoperatively, both cohorts had a similar high-grade complication, hospital readmission, and cancer recurrence rate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The SP robot allows a safe alternative surgical approach for RARC and offers similar postoperative outcomes compared to the MP robot.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2023.0553","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T03:04:17Z","timestamp":1710212657000},"page":"438-443","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Postoperative Outcomes and Analgesic Requirements of Single-Port\n                    <i>vs<\/i>\n                    Multiport Robotic-Assisted Radical Cystectomy"],"prefix":"10.1177","volume":"38","author":[{"given":"Andrew M.","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Hayek","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Michael","family":"Kaylor","sequence":"additional","affiliation":[{"name":"Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles C.","family":"Peyton","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama, USA."},{"name":"O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"James E.","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama, USA."},{"name":"O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey W.","family":"Nix","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama, USA."},{"name":"O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soroush","family":"Rais-Bahrami","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama, USA."},{"name":"O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA."},{"name":"Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.04.086"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.03.055"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.05.012"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.2003.04329.x"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.10.027"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0166221"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30996-6"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348221075777"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-020-01053-y"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-021-01271-y"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2018.11.024"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2020.10.006"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000811"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2021.0287"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.1227"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.03.023"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2021.06.033"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14744"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2018.07.012"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15083"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2018.11.059"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000570"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000343"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12258"}],"container-title":["Journal 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