The Xing Technique for Intracorporeal Ileal Conduit: Outcomes From a Single Center.

Abstract

Objective: To describe our surgical technique for intracorporeal ureteroileal anastomosis and to assess its safety and short-term outcomes.

Patients and methods: We performed a retrospective review of medical records for 90 consecutive patients who received an intracorporeal ileal conduit constructed using the Xing technique at our center from March 2018 to October 2022. In all cases, an intracorporeal ileal conduit was constructed using the Xing technique with a da Vinci Surgical System robot in a four-arm configuration or a Storz 3D laparoscopic system. Intraoperative variables, postoperative complications, and short-term follow-up data were assessed. A descriptive statistical analysis was performed.

Results: The median operative time was 244 min. No conversion to open surgery was needed. One patient needed a red blood cell transfusion (800 mL) for hemorrhage during surgery. Five patients (5.5%) experienced renal hydronephrosis after surgery because of a ureteroileal anastomosis stricture. The study is limited by its retrospective nature, lack of a control group, and short follow-up.

Conclusion: Use of the Xing technique may simplify the ureteroileal anastomosis procedure for an intracorporeal ileal conduit and reduce the incidence of anastomosis stricture. The short-term results are satisfactory.