{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:50:41Z","timestamp":1781614241697,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,16]],"date-time":"2025-02-16T00:00:00Z","timestamp":1739664000000},"content-version":"vor","delay-in-days":46,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"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":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Limited evidence exists regarding differences in post\u2010operative renal function and ileal conduit\u2010related complications, including ureteroenteric anastomotic stricture (UAS) and parastomal hernia (PH), between radical cystectomy (RC) with extracorporeal urinary diversion (ECUD) and robot\u2010assisted RC with intracorporeal UD (ICUD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively collected the baseline and post\u2010RC follow\u2010up data from 179 patients receiving RC with ileal conduit UD (152 ECUD and 27 ICUD). The estimated glomerular filtration rate (eGFR, mL\/min\/1.73\u2009m\n                      <jats:sup>2<\/jats:sup>\n                      ) and occurrence of UAS and PH were post\u2010operatively monitored. Chronic kidney disease (CKD) stages were determined based on eGFR level. UD\u2010related complications were evaluated using the Clavien\u2010Dindo system. Time\u2010course changes in eGFR level and CKD\u2010related survival rates were compared in both the original and propensity score\u2010matched cohorts.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Although the original ECUD group had higher eGFR levels (median, 60.9 vs. 52.1), comparison of the adjusted cohorts revealed no significant difference at any time points, CKD upstaging\u2010free survival, and CKD stage 3b\u2010free survival. Out of 179 patients, three (1.7%), eight (4.5%), and 14 (7.8%) experienced grade I, II, and IIIa UAS, respectively. Thirteen (7.3%) developed PH during follow\u2010up. No significant differences were observed in UAS rates (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.38), PH rates (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.69), CKD upstaging\u2010free survival, and CKD stage 3b\u2010free survival between two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>No significant difference was observed in post\u2010operative renal function and UD\u2010related complication rates among the different types of surgery in patients undergoing RC in our institute. Further research is needed to determine the optimal surgical approach for each patient to minimize risks of CKD upstaging, UAS, and PH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70033","type":"journal-article","created":{"date-parts":[[2025,2,16]],"date-time":"2025-02-16T23:04:56Z","timestamp":1739747096000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of Post\u2010Radical Cystectomy Renal Function and Ileal Conduit\u2010Related Complications Between Extracorporeal and Robot\u2010Assisted Intracorporeal Urinary\u00a0Diversion: A Single\u2010Center Experience"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9503-7356","authenticated-orcid":false,"given":"Makito","family":"Miyake","sequence":"first","affiliation":[{"name":"Department of Urology Nara Medical University  Kashihara Nara 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