{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T06:32:59Z","timestamp":1773210779695,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The number of facilities adopting intracorporeal urinary diversion (ICUD) using robots instead of extracorporeal urinary diversion (ECUD) is increasing. However, guidance on how to introduce robot\u2010assisted radical cystectomy (RARC)\u2009+\u2009ICUD in each urological institute remains unclear. This study aimed to verify the feasibility of the transition from laparoscopic radical cystectomy (LRC)\u2009+\u2009ECUD to RARC\u2009+\u2009ICUD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 26 consecutive patients who underwent ICUD with an ileal conduit after RARC between 2018 and 2020 (RARC\u2009+\u2009ICUD early group). We then compared these patients with 26 consecutive patients who underwent ECUD with an ileal conduit after LRC between 2012 and 2019 (LRC\u2009+\u2009ECUD late group) at Yokohama City University Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the RARC\u2009+\u2009ICUD early group compared with the LRC\u2009+\u2009ECUD late group, the median total operation time was 516 versus 532.5\u2009min (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.217); time to cystectomy, 191 versus 206.5\u2009min (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.234); time of urinary diversion with an ileal conduit, 198 versus 220\u2009min (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.016); postoperative maximum C\u2010reactive protein levels, 6.98 versus 12.46\u2009mg\/L (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.001); number of days to oral intake, 3 versus 5\u2009days (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.003); length of hospital stay, 17 versus 32\u2009days (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). The postoperative complication rates (within 90\u2009days) were 23.1% and 42.3% in the RARC\u2009+\u2009ICUD early and LRC\u2009+\u2009ECUD late groups, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.237). Clavien\u2013Dindo classification \u22653 was noted in 1 and 4 patients in the RARC\u2009+\u2009ICUD early and LRC\u2009+\u2009ECUD late groups, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.350).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Regarding perioperative outcomes, the RARC\u2009+\u2009ICUD early group was not inferior to the LRC\u2009+\u2009ECUD late group. This study suggests the feasibility of a transition from LRC\u2009+\u2009ECUD to RARC\u2009+\u2009ICUD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.13289","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T21:19:21Z","timestamp":1707945561000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical proficiency in laparoscopic radical cystectomy with extracorporeal urinary diversion and its adequacy for the execution of robot\u2010assisted radical cystectomy with intracorporeal urinary diversion"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4072-9547","authenticated-orcid":false,"given":"Atsuto","family":"Suzuki","sequence":"first","affiliation":[{"name":"Department of Urology Kanagawa Cancer Center  Yokohama 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