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Abstract:
OBJECTIVE:To illustrate our refinement technique for robotic intracorporeal orthotopic Hautmann neobladder with adherence to open surgical principles and evaluate perioperative and functional outcomes. PATIENTS AND METHODS:Robot-assisted radical cystectomy (RARC) with intracorporeal Hautmann orthotopic neobladder was performed by the same surgeon in 40 patients with bladder cancer from November 2017 to March 2019. Baseline demographics, pathological data, 90-d complications, and functional outcomes at both 6 and 12 months were evaluated with questionnaire and urodynamic analysis. RESULTS:Median followup was 14 months (range 4 to 20). Median operative time was 320 (230-500) min, and the estimated blood loss was 300 (100-2000) ml. No conversion to the open technique was reported. The overall 90-d complication rate was 45%, and the high-grade complication rate was only 10%. The daytime satisfactory continence rate was 90% at both 6 months (30 patients) and 12 months (20 patients), while the night-time satisfactory continence rate was 76.7% and 80.0% at 6 months and 12 months, respectively. One patient underwent clean intermittent catheterization. The cohort had minimal postvoid residual volume, normal compliance, and a mean capacity of 328.7 cm3 (range 170-500) at 6 months postoperatively. CONCLUSION:Our preliminary data indicate that robotic intracorporeal Hautmann neobladder configuration is a feasible surgical technique and can achieve a low pressure and sufficient capacity for satisfactory early voiding patterns. Refinement of the stepwise process can effectively decrease the time of the operation. Long-term functional and oncological outcomes remain to be evaluated with longer follow-up and more cases.
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最新影响因子:2.633 | 期刊ISSN:0090-4295 | CiteScore:1.56 |
出版周期:Monthly | 是否OA:YES | 出版年份:1973 |
期刊官方网址:http://www.journals.elsevier.com/urology
期刊投稿地址:http://ees.elsevier.com/url/
自引率:8.80% | 研究方向:医学-泌尿学与肾脏学 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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The mission of Urology, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide.Urology publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon's workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, historical articles in urology, and a postgraduate continuing medical education program.
《泌尿学》杂志的使命是为全世界从事泌尿学艺术的医生和研究人员提供实用、及时和相关的临床和基础科学信息。泌尿学出版有关成人和儿童临床泌尿学以及临床和基础科学研究的原创文章。泌尿学的主题包括儿科、外科肿瘤学、放射学、病理学、勃起功能障碍、不孕症、尿失禁、移植、内泌尿学、男科、女性泌尿学、重建外科、肿瘤学以及相关的基础科学问题。特色包括及时沟通重要问题、外科医生研讨会、有趣的病例报告、外科技术、临床和基础科学评论文章、客座社论、给编辑的信、书评、泌尿学方面的历史文章,以及研究生继续医学教育项目。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
UROLOGY & NEPHROLOGY (泌尿学与肾脏学) 3区 |
32/76 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
515 | 492 | 23 |
引文计数(2018)
文献(2015-2017)
3813次引用
2440篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Urology
|
#41/97
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研究方向:前列腺癌
审稿时间: 2个月内 接受率: 中等(50%命中)
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审稿时间: 2个月内 接受率: 中等(50%命中)
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研究方向:医药科学 泌尿系统 泌尿系统感染
审稿时间: 2个月内
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研究方向:基础
审稿时间: 2个月内 接受率: 非常困难(几乎不命中)s
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研究方向:临床
审稿时间: 2个月内 接受率: 比较困难(25%命中)
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影响因子:2.566
ISSN:0739-7240
研究方向:农林科学-奶制品与动物科学
影响因子:6.497
ISSN:1172-7047
研究方向:医学-精神病学
影响因子:1.297
ISSN:0028-2804
研究方向:医学-精神病学
影响因子:4.604
ISSN:1092-8529
研究方向:医学-精神病学
影响因子:5.345
ISSN:1398-5647
研究方向:医学-精神病学
影响因子:3.492
ISSN:1540-2002
研究方向:CLINICAL NEUROLOGY-PSYCHIATRY
影响因子:4.562
ISSN:0269-8811
研究方向:医学-精神病学
影响因子:6.533
ISSN:0165-0327
研究方向:医学-精神病学
影响因子:5.415
ISSN:0924-977X
研究方向:医学-精神病学
发表一篇学和医学成像类SCI论文
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