{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T02:47:05Z","timestamp":1780368425717,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,4,2]],"date-time":"2016-04-02T00:00:00Z","timestamp":1459555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Nuovo-Soldati"},{"name":"Arnold U. und Susanne Huggenberger-Bischoff"},{"name":"Bangerter Foundations"},{"name":"Swiss Urological Association (Switzerland)"},{"name":"Frederick J and Theresa Dow Wallace Fund of the New York Community Trust"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To determine the safety of robot\u2010assisted cystectomy (RAC) in patients with an irradiated pelvis, by comparing perioperative complication outcomes after\n                      <jats:styled-content style=\"fixed-case\">RAC<\/jats:styled-content>\n                      in patients with and without a history of pelvic irradiation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      In all, 252 consecutive patients underwent\n                      <jats:styled-content style=\"fixed-case\">RAC<\/jats:styled-content>\n                      at a tertiary referral centre from 2002 to 2013. Of all patients, 46 (18%) had a history of pelvic irradiation. Complications occurring at \u226430 days and \u226490 days of\n                      <jats:styled-content style=\"fixed-case\">RAC<\/jats:styled-content>\n                      were graded using the modified Clavien\u2013Dindo classification system and additionally categorised by organ system. Baseline variables and outcomes of irradiated and non\u2010irradiated patients were compared using descriptive statistics. Multivariable logistic regression models were generated to test the effect of previous pelvic irradiation on complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The indications for\n                      <jats:styled-content style=\"fixed-case\">RAC<\/jats:styled-content>\n                      in patients with a history of pelvic irradiation were: bladder cancer (30 patients, 65%), prostate cancer (two, 4%), fistulae (five, 11%), and intractable symptoms from radiation cystitis (nine, 20%). In all, 25 (54%) irradiated and 112 (54%) non\u2010irradiated patients had complications at \u226490 days (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; 0.9), of which 11 (24%) and 43 (21%) respectively had major complications (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.7). One (2%) patient with and two (1%) patients without a history of irradiation died from surgical complications (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.5). Infectious, bleeding, and gastrointestinal complications were the most common events in both groups. In multivariable analyses, a history of pelvic irradiation was not associated with a higher risk of complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">RAC<\/jats:styled-content>\n                      performed by an experienced surgeon is a reasonable option in selected patients with a history of pelvic irradiation, as complication rates do not significantly differ compared with non\u2010irradiated patients.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.13464","type":"journal-article","created":{"date-parts":[[2016,3,2]],"date-time":"2016-03-02T21:58:49Z","timestamp":1456955929000},"page":"437-443","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["The safety of robot\u2010assisted cystectomy in patients with previous history of pelvic irradiation"],"prefix":"10.1111","volume":"118","author":[{"given":"Bashir","family":"Al Hussein Al Awamlh","sequence":"first","affiliation":[{"name":"Department of Urology Weill Cornell Medical College New York\u2010Presbyterian Hospital New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel P.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Urology Weill Cornell Medical College New York\u2010Presbyterian Hospital New York NY USA"},{"name":"Bern University Hospital Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Otto","sequence":"additional","affiliation":[{"name":"Department of Urology Weill Cornell Medical College New York\u2010Presbyterian Hospital New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Padraic","family":"O'Malley","sequence":"additional","affiliation":[{"name":"Department of Urology Weill Cornell Medical College New York\u2010Presbyterian Hospital New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farehin","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Urology Weill Cornell Medical College New York\u2010Presbyterian Hospital New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savanah","family":"Brooks","sequence":"additional","affiliation":[{"name":"Department of Urology Weill Cornell Medical College New York\u2010Presbyterian Hospital New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas S.","family":"Scherr","sequence":"additional","affiliation":[{"name":"Department of Urology Weill Cornell Medical College New York\u2010Presbyterian Hospital New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,2]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Cancer: Principles and Practice of Oncology","author":"Lawrence T","year":"2008"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)02250-2"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2008.10.005"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.02.113"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-008-0346-0"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(01)01269-9"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2005.04.046"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)02272-0"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.11.043"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.06.001"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.07212.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.07.031"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200206000-00007"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-004-0446-4"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.01.048"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.09.056"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.10.044"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.01.010"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.08.007"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2004.07.666"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.460"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2005.12.056"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12167"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.06.007"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.05.032"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2011.0326"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.13464","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.13464","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T12:50:12Z","timestamp":1761742212000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.13464"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4,2]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1111\/bju.13464"],"URL":"https:\/\/doi.org\/10.1111\/bju.13464","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4,2]]},"assertion":[{"value":"2016-04-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}