{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T23:09:37Z","timestamp":1790982577279,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,7,27]],"date-time":"2017-07-27T00:00:00Z","timestamp":1501113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2017,11]]},"abstract":"\n Objectives<\/jats:title>\n \n To determine the impact of body mass index (\n BMI<\/jats:styled-content>\n ) on peri\u2010operative and oncological outcomes after robot\u2010assisted radical cystectomy (\n RARC<\/jats:styled-content>\n ) with intracorporeal urinary diversion.\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n A total of 216 patients undergoing\n RARC<\/jats:styled-content>\n , extended lymphadenectomy and intracorporeal urinary diversion, between July 2010 and December 2015, were categorized into four\n BMI<\/jats:styled-content>\n groups according to the 2004 World Health Organization obesity classification groups: <25 kg\/m\n 2<\/jats:sup>\n (normal); 25\u201329.9 kg\/m\n 2<\/jats:sup>\n (pre\u2010obese); 30\u201334.9 kg\/m\n 2<\/jats:sup>\n (obese class I); and \u226535 kg\/m\n 2<\/jats:sup>\n (obese class\n II<\/jats:styled-content>\n ). Pre\u2010, intra\u2010 and postoperative characteristics, oncological outcomes, and 90\u2010day complications were compared using\n sas<\/jats:sc>\n statistical software.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n All 216 patients underwent intracorporeal urinary diversion, with 68 (32%) undergoing orthotopic neobladder construction. Demographics were similar among the\n BMI<\/jats:styled-content>\n groups with regard to median (range) age (71.8 [35\u2013 95] years), gender (80.6% men), Charlson comorbidity index (\n CCI<\/jats:styled-content>\n ) score (66.2% with\n CCI<\/jats:styled-content>\n score 0\u20131), pathological stage (carcinoma\n in situ<\/jats:italic>\n to T2: 55.1%, T3\u2013T4\/N0: 18.5%, Tx\/N+: 26.4%), median (interquartile range) node count [41 (28, 53)] and positive soft tissue margin rate (4.2%). Obese patients had greater blood loss and longer operating time (\n P<\/jats:italic>\n = 0.02 and\n P<\/jats:italic>\n = 0.04, respectively). There were no significant differences in length of hospital stay, transfusion rates, readmission or 90\u2010day overall and high\u2010grade complication rates (\n P<\/jats:italic>\n = 0.16,\n P<\/jats:italic>\n = 0.96,\n P<\/jats:italic>\n = 0.89,\n P<\/jats:italic>\n = 0.22 and\n P<\/jats:italic>\n = 0.51, respectively). At a median (range) follow\u2010up of 13 months (15 days to 4.8 years), recurrence\u2010free survival (\n P<\/jats:italic>\n = 0.92) and overall survival (\n P<\/jats:italic>\n = 0.68) were similar among the groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The results of the present study show that\n RARC<\/jats:styled-content>\n with intracorporeal urinary diversion is safe and feasible in obese patients with bladder cancer.\n BMI<\/jats:styled-content>\n was not associated with significant differences in peri\u2010operative, pathological or early oncological outcomes.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.13916","type":"journal-article","created":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T20:19:12Z","timestamp":1495570752000},"page":"689-694","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Impact of body mass index on robot\u2010assisted radical cystectomy with intracorporeal urinary diversion"],"prefix":"10.1111","volume":"120","author":[{"given":"Nariman","family":"Ahmadi","sequence":"first","affiliation":[{"name":"USC Institute of Urology Keck Medicine of USC University of Southern California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas G.","family":"Clifford","sequence":"additional","affiliation":[{"name":"USC Institute of Urology Keck Medicine of USC University of Southern California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gus","family":"Miranda","sequence":"additional","affiliation":[{"name":"USC Institute of Urology Keck Medicine of USC University of Southern California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Cai","sequence":"additional","affiliation":[{"name":"USC Institute of Urology Keck Medicine of USC University of Southern California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monish","family":"Aron","sequence":"additional","affiliation":[{"name":"USC Institute of Urology Keck Medicine of USC University of Southern California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihir M.","family":"Desai","sequence":"additional","affiliation":[{"name":"USC Institute of Urology Keck Medicine of USC University of Southern California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inderbir S.","family":"Gill","sequence":"additional","affiliation":[{"name":"USC Institute of Urology Keck Medicine of USC University of Southern California Los Angeles CA 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