AB011. SOH26AB_0099. Hand-sewn vs. stapled anastomosis in reconstruction post radical cystectomy for bladder cancer: a scoping review
Urology Session

AB011. SOH26AB_0099. Hand-sewn vs. stapled anastomosis in reconstruction post radical cystectomy for bladder cancer: a scoping review

Jack Kearney, Sorcha O’Meara, Nikita Bhatt

Department of Urology, St. Vincent’s University Hospital, Dublin, Ireland

Background: Radical cystectomy (RC) with ileal conduit (IC) or neobladder formation is the gold standard treatment for muscle-invasive and high-risk non-muscle invasive bladder cancer. From a technical perspective, reconstruction can be performed using a hand-sewn anastomosis (HSA) or stapled anastomosis (STA). We aim to review current literature comparing HSA and STA in IC or neobladder formation following RC, focusing on perioperative outcomes, postoperative complications, and long-term functional results.

Methods: A scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines, to identify studies comparing HSA and STA in IC or neobladder reconstruction post-RC. Data were extracted and statistical analysis performed using Jamovi. A P value of <0.05 was considered significant.

Results: A total of four retrospective cohort studies met the inclusion criteria with 450 patients undergoing IC via HSA (n=251) or STA (n=199). No statistical difference was identified between HSA or STA in terms of: length of hospital stay (8 vs. 9.25 days, P=0.53), operating times (296 vs. 310 min, P=0.16), blood loss (100 vs. 131 mL, P=0.42), or gastrointestinal complications (24.5 vs. 15, P=0.45). One paper reported that HSA patients had improved continence recovery probabilities.

Conclusions: This scoping review identified no statistical differences in perioperative outcomes or complication rates between HSA and STA IC or neobladder reconstructions following RC. Study limitations include retrospective single-centre designs, heterogeneity, and small sample sizes. Prospective control trials are needed to confirm these findings and to compare long-term functional outcomes and patient-reported outcome measures.

Keywords: Hand-sewn anastomosis (HSA); ileal conduit (IC); neobladder; radical cystectomy (RC); stapled anastomosis (STA)

Acknowledgments

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Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-26-ab011
Cite this abstract as: Kearney J, O’Meara S, Bhatt N. AB011. SOH26AB_0099. Hand-sewn vs. stapled anastomosis in reconstruction post radical cystectomy for bladder cancer: a scoping review. Mesentery Peritoneum 2026;10:AB011.

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