{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:03:46Z","timestamp":1789621426574,"version":"build-2803163510"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We describe a modified technique for laparoscopic radical cystectomy (LRC) utilizing a mini-laparotomy incision for conduit formation and compare outcomes with the conventional technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods:<\/jats:title>\n                    <jats:p>\n                      This retrospective single-centre study included patients with bladder cancer undergoing LRC at a tertiary care centre between September 2019 and December 2024. Patients were divided into conventional LRC (CLRC) and modified LRC (MLRC) groups. Statistical analysis was performed using chi-square and Student\u2019s\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05 considered significant).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 228 patients were included (CLRC: 58; MLRC: 170). Operative time was significantly longer in MLRC (253 vs 246\u2009min,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0018). However, mean blood loss (370 vs 543\u2009ml,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), incision size (8.5 vs 14.5\u2009cm,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), time to oral intake (3.5 vs 3.8\u2009days,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and hospital stay (10.8 vs 11.6\u2009days,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were significantly reduced. Two early postoperative deaths (Clavien\u2013Dindo Grade V) occurred in CLRC. At 2-year follow-up, recurrence (7.1% vs 10.3%) and mortality (1.2% vs 5.2%) were comparable between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The modified technique is feasible and reproducible. Despite longer operative time, it significantly reduces postoperative morbidity with comparable short-term oncological outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603261444885","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T13:44:02Z","timestamp":1777470242000},"page":"402-408","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic radical cystectomy in patients with bladder cancer: A modified technique with reduced morbidity \u2013 A comparative study"],"prefix":"10.1177","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8436-5773","authenticated-orcid":false,"given":"Amit","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Urology &amp; Renal Transplant, AIIMS, Raipur, CG, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Biswal","sequence":"additional","affiliation":[{"name":"Department of Urology &amp; Renal Transplant, AIIMS, Raipur, CG, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1925-5412","authenticated-orcid":false,"given":"Satyadeo","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Urology &amp; Renal Transplant, AIIMS, Raipur, CG, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghavendra","family":"Ravani Thrilochana","sequence":"additional","affiliation":[{"name":"Department of Urology &amp; Renal Transplant, AIIMS, Raipur, CG, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradhuman","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Urology &amp; Renal Transplant, AIIMS, Raipur, CG, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2014-0592","authenticated-orcid":false,"given":"Saryu","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Urology &amp; Renal Transplant, AIIMS, Raipur, CG, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parwez","family":"Alam","sequence":"additional","affiliation":[{"name":"Department of Urology &amp; Renal Transplant, AIIMS, Raipur, CG, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","unstructured":"Adamczyk P Juszczak K Kad\u0142ubowski M et al Can laparoscopic cystectomy become the method of choice in the treatment of invasive urothelial urinary bladder cancer? 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