{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:43:40Z","timestamp":1747183420988,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T00:00:00Z","timestamp":1582848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Constant evaluation of the outcomes of laparoscopic intracorporeal urinary diversion is not yet established. This study aimed to describe surgical outcomes and learning curve of intracorporeal ileal conduit (ICIC) following laparoscopic radical cystectomy (LRC) at a single institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From June 2012 to February 2018, 38 patients with bladder cancer underwent LRC with ileal conduit at our institution. Surgical outcomes were compared between ICIC (n = 30) and extracorporeal ileal conduit (ECIC) (n = 8). The learning curve during ICIC with regard to the operative time and complication rate was compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No significant differences in patient characteristics between the ICIC and ECIC groups were found. Comparison of outcomes between the ICIC and ECIC groups were as follows: median total operative time, 688 vs 713\u2009minutes; urinary diversion time, 213 vs 192\u2009minutes; and estimated blood loss, 450 vs 420\u2009mL, respectively. The median time to walking and oral intake were similar in both groups. Rates of high\u2010grade complications associated with urinary diversion (Clavien\u2010Dindo grade\u2009\u2265\u2009III) were 3% in ICIC and 25% in ECIC. Although 25% of ECIC patients developed wound dehiscence (Clavien\u2010Dindo grade IIIb), no patient in the ICIC group had postoperative wound infection. For the learning curve of ICIC (n = 30), urinary diversion time decreased significantly (27\u2009minutes decrease per 10 cases, <jats:italic>P<\/jats:italic> =\u2009.02). Clavien\u2010Dindo grade\u2009\u2265\u2009II complication did not occur after 20 cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>LRC with ICIC could be performed safely with low incidence of severe wound infection compared with ECIC. The incidence and severity of complications also decreased with time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12793","type":"journal-article","created":{"date-parts":[[2020,2,29]],"date-time":"2020-02-29T00:34:20Z","timestamp":1582936460000},"page":"532-538","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical outcomes and learning curve of totally intracorporeal ileal conduit urinary diversion following laparoscopic radical cystectomy at a single institution"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6978-6932","authenticated-orcid":false,"given":"Masashi","family":"Kubota","sequence":"first","affiliation":[{"name":"Department of Urology Kobe City Medical Centre General Hospital  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidetoshi","family":"Kokubun","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Centre General Hospital  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ritsuki","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Centre General Hospital  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiori","family":"Murata","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Centre General Hospital  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriyuki","family":"Makita","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Centre General Hospital  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Issei","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Urology Kobe City Medical Centre General Hospital  Kobe 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