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A Novel Neobladder-Urethral Drag-and-Bond Anastomosis Technique During Laparoscopic Radical Cystectomy for Ileal Orthotopic Neobladder: Surgical Technique and Initial Research

Authors Yu Z, Huang J, Deng H, Zeng Z, Deng L, Xu X, Chao H, Zeng T

Received 8 November 2020

Accepted for publication 22 February 2021

Published 30 March 2021 Volume 2021:13 Pages 2909—2915

DOI https://doi.org/10.2147/CMAR.S288673

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Eileen O'Reilly


Supplementary video 1 of "Novel neobladder-urethral drag-and-bond anastomosis technique" [ID 288673].

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Zhaojun Yu,1– 3 Jianbiao Huang,1– 3 Huanhuan Deng,1,3 Zhihua Zeng,1 Leihong Deng,4 Xiangda Xu,1 Haichao Chao,1 Tao Zeng1

1Department of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, People’s Republic of China; 2Department of Urology, The People’s Hospital Affiliated to Nanchang University, Nanchang, 330006, People’s Republic of China; 3Medical Department, Nanchang University, Nanchang, 330006, People’s Republic of China; 4Department of Ultrasound, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, People’s Republic of China

Correspondence: Tao Zeng
Department of Urology, The Second Affiliated Hospital of Nanchang University, No. 1 Minde Road, Nanchang, Jiangxi Province, 330006, People’s Republic of China
Tel +8613607919171
Email [email protected]

Purpose: To explore the application of the neobladder-urethral drag-and-bond anastomosis technique in laparoscopic radical cystectomy (LRC) with ileal orthotopic neobladder (IONB) reconstruction.
Patients and Methods: This is a retrospective cohort study on a procedure performed by a single surgeon. From January 2014 to December 2018, we identified 43 male bladder cancer patients who received LRC with IONB reconstruction. These patients were divided into two groups, with 22 patients undergoing neobladder-urethral drag-and-bond anastomosis (NUDA) and 21 patients undergoing neobladder-urethral anastomosis under laparoscopy (NUAL). Anastomosis time, catheter removal time, postvoid residual (PVR), maximum urinary flow rate (Q-max), urine leakage and anastomotic stenosis were used to evaluate the simplicity and surgical effect of the two groups.
Results: Both groups demonstrated similar tumor characteristics. A significant difference in neobladder-urethral anastomosis time was found between the NUDA group and the NUAL group (14.6 ± 0.4 vs 70 ± 2.5 min, P< 0.0001), and there was no significant difference in other characteristics.
Conclusion: The neobladder-urethral drag-and-bond anastomosis technique in LRC and IONB reconstruction, with its shorter learning curve, was easier and more convenient than neobladder-urethral anastomosis under laparoscopy.

Keywords: drag-and-bond anastomosis, neobladder-urethral anastomosis, laparoscopic radical cystectomy, ileal orthotopic neobladder, bladder cancer

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