Skip to Main content Skip to Navigation
Journal articles

Multicenter external validation of the radical cystectomy pentafecta in a European cohort of patients undergoing robot-assisted radical cystectomy with intracorporeal urinary diversion for bladder cancer

Abstract : Objective To perform an external validation of this RC-pentafecta. Method Between January 2014 and December 2019, 104 consecutive patients who underwent RARC with ICUD within 6 urological centers were analyzed retrospectively. Patients who simultaneously demonstrated negative soft tissue surgical margins (STSMs), a lymph node (LN) yield ≥ 16, absence of major (Clavien-Dindo grade III-V) 90-day postoperative complications, absence of UD-related long-term sequelae, and absence of 12-month clinical recurrence were considered to have achieved RC-pentafecta. A multivariable logistic regression model was used to measure predictors for achieving RCpentafecta. We analyzed the influence of this RC-pentafecta on survival, and the impact ofthe surgical experience. Results Since 2014, 104 patients who had completed at least 12 months of follow-up were included. Over a mean follow-up of 18 months, a LN yield ≥ 16, negative STSMs, absence of major complications at 90 days, and absence of UD-related surgical sequelae and clinical recurrence at ≤ 12 months were observed in 56%, 96%, 85%, 81%, and 91% of patients, respectively, resulting in a RC-pentafecta rate of 39.4%. Multivariate analysis showed that age was an independent predictor of pentafecta achievement (odds ratio [OR], 0.96; 95% confidence interval [CI], 0.90. 0.99; p = 0.04). The surgeon experience had an impact on the validation of the criteria. Conclusion This study confirmed that the RC-pentafecta is reproducible and could be externally used for the outcome assessment after RARC with ICUD. Therefore, the RC-pentafecta could be a useful tool to assess surgical success and its impact on different outcomes.
Document type :
Journal articles
Complete list of metadata

https://hal.sorbonne-universite.fr/hal-03278604
Contributor : Hal Sorbonne Université Gestionnaire Connect in order to contact the contributor
Submitted on : Monday, July 5, 2021 - 5:10:43 PM
Last modification on : Tuesday, January 11, 2022 - 10:32:03 AM
Long-term archiving on: : Wednesday, October 6, 2021 - 9:23:08 PM

File

Baron2021_Article_MulticenterE...
Publication funded by an institution

Identifiers

Citation

P. Baron, Z. Khene, F. Lannes, G. Pignot, A. Bajeot, et al.. Multicenter external validation of the radical cystectomy pentafecta in a European cohort of patients undergoing robot-assisted radical cystectomy with intracorporeal urinary diversion for bladder cancer. World Journal of Urology, Springer Verlag, 2021, ⟨10.1007/s00345-021-03753-y⟩. ⟨hal-03278604⟩

Share

Metrics

Les métriques sont temporairement indisponibles