Pubblicazioni

Autori:

Veccia, Alessandro; Brusa, Davide; Treccani, Lorenzo; Malandra, Sarah; Serafin, Emanuele; Costantino, Sonia; Cianflone, Francesco; Ditonno, Francesco; Montanaro, Francesca; Fumanelli, Francesca; Ferro, Matteo; Mazzon, Giorgio; Autorino, Riccardo; Bertolo, Riccardo; Antonelli, Alessandro

Titolo:

Radical cystectomy with stentless urinary diversion: A systematic review and meta-analysis of comparative studies

Anno:

2024

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Referee:

Sì

Nome rivista:

UROLOGIC ONCOLOGY

ISSN Rivista:

1078-1439

Intervallo pagine:

1-7

Parole chiave:

Radical cystectomy; Stent; Stentless; Urinary diversion

Breve descrizione dei contenuti:

Purpose: To systematically compare the evidence about surgical outcomes, postoperative complications, and sequelae of Radical cystectomy with urinary diversion with or without stent placement. Material and methods: A literature search was performed through PubMed, Scopus®, and Web of Science up to December 2023 in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. The study protocol was registered in PROSPERO (CRD 42023492384), and the research question was formulated according to the PICOs model. Three comparative studies were identified, 2 randomized and 1 prospective coming from a randomized cohort. Results: The stent group showed higher odds of postoperative major complications (OR 3.00 - 95%CI 1.06; 8.52; P = 0.04) than the stentless group. There was no statistically significant difference between the 2 groups regarding 30-day readmission (P = 0.06), postoperative uretero-ileal anastomotis stricture (UIAS) (P = 0.09), postoperative uretero-ileal anastomotis leak (UIAL) (P = 0.20), postoperative urinary tract infections (UTIs) (P = 0.08), and postoperative ureteral obstruction (P = 0.35). No statistically significant difference between the 2 groups was found regarding UIAS management in terms of ureteral reimplantation (P = 0.28) or dilatation (P = 0.36). Conclusions: Our pooled data analysis shows no statistically significant difference between stentless and stented urinary diversion after radical cystectomy. Stentless could be a reasonable choice when performing diversion during radical cystectomy.

Pagina Web:

https://www.sciencedirect.com/science/article/abs/pii/S1078143924005374

Id prodotto:

141190

Handle IRIS:

11562/1138112

ultima modifica:

17 aprile 2025

Citazione bibliografica:

Veccia, Alessandro; Brusa, Davide; Treccani, Lorenzo; Malandra, Sarah; Serafin, Emanuele; Costantino, Sonia; Cianflone, Francesco; Ditonno, Francesco; Montanaro, Francesca; Fumanelli, Francesca; Ferro, Matteo; Mazzon, Giorgio; Autorino, Riccardo; Bertolo, Riccardo; Antonelli, Alessandro, Radical cystectomy with stentless urinary diversion: A systematic review and meta-analysis of comparative studies «UROLOGIC ONCOLOGY» , 2024 , pp. 1-7

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo