{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T09:48:59Z","timestamp":1779356939158,"version":"3.51.4"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"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":["Int J of Urology"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the complications and their surgical management after laparoscopic radical cystectomy in a Japanese multicenter cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The participants were drawn from a retrospective multicenter study at 10 institutions. We identified 436 patients who underwent laparoscopic radical cystectomy with no robot assistance. Early and late complications were graded according to their Clavien\u2013Dindo classification. The records of all patients who underwent surgical interventions for laparoscopic radical cystectomy\u2010specific complications were also reviewed. Kaplan\u2013Meier curves were used to describe the time to surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 90\u2010day rates for overall complications, high\u2010grade complications (Clavien\u2013Dindo classification III\u2013V) and mortality were 53%, 17% and 1.4%, respectively. Gastrointestinal (25%), infectious (22%) and abdominal wall\u2010related (9%) complications were the most common. The late complication rate was 18%, and a total of 81 patients (19%) underwent surgical intervention during the median follow\u2010up period of 22\u00a0months. The reoperation rate was 25% at 5\u00a0years. Gastrointestinal complications in the early postoperative period and abdominal wall\u2010related complications in the late postoperative period were the main reasons for reoperation. Seven (7%) out of 100 female patients underwent emergent surgical reoperation for transvaginal bowel evisceration as a result of vaginal dehiscence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early and late postoperative complications and surgical reoperations are notable after laparoscopic radical cystectomy. Abdominal wall\u2010related complications including vaginal dehiscence are common, and they represent the main indication for reoperation during long\u2010term follow up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.13917","type":"journal-article","created":{"date-parts":[[2019,2,2]],"date-time":"2019-02-02T02:59:02Z","timestamp":1549076342000},"page":"493-498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort"],"prefix":"10.1111","volume":"26","author":[{"given":"Toru","family":"Kanno","sequence":"first","affiliation":[{"name":"Department of Urology Ijinkai Takeda General Hospital Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuhiro","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Urology National Hospital Organization Kyoto Medical 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