Status:

WITHDRAWN

Urinary Diversion During Robotic Assisted Radical Cystectomy in Patients With Bladder Cancer

Lead Sponsor:

Case Comprehensive Cancer Center

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Recurrent Bladder Cancer

Stage 0 Bladder Cancer

Eligibility:

All Genders

Phase:

NA

Brief Summary

This randomized clinical trial studies intracorporeal or extracorporeal urinary diversion during robotic assisted radical cystectomy in reducing complications in patients with bladder cancer. Radical ...

Detailed Description

PRIMARY OBJECTIVES: I. To compare perioperative outcomes and complications after robotic assisted radical cystectomy (RARC) with intracorporeal urinary diversion (IUD) and RARC with extracorporeal ur...

Eligibility Criteria

Inclusion

  • Grade G1 - G3 bladder cancer
  • T stage: cTis - T2
  • N0
  • M0
  • American Society of Anesthesiologists (ASA) \< 4
  • Informed consent
  • Eastern Cooperative Oncology Group (ECOG) performance status 2 or better
  • Hemoglobin (Hgb) \> 8.0 g/dL
  • White blood cell (WBC) \> 2.0 k/uL
  • Platelets \> 50,000
  • Creatinine \< 3.0 x upper limit of normal (ULN)
  • Aspartate aminotransferase (AST) \< 5.0 x ULN
  • Alanine transaminase (ALT) \< 5.0 x ULN

Exclusion

  • Patient unsuitable for or refusing radical cystectomy
  • T stage ≥ T3 (mass extending outside the bladder)
  • Gross nodal or metastatic disease at presentation (≥ N1, M1)
  • Prior pelvic radiation
  • Prior open or laparoscopic/robotic bladder or prostate surgery
  • Prior colorectal surgery or history of inflammatory bowel disease
  • Body mass index (BMI) ≥ 40
  • ECOG performance status 3 or worse
  • History of coagulopathy or bleeding disorders
  • Chronic steroid use
  • Patients with end stage renal disease (ESRD) and/or on dialysis

Key Trial Info

Start Date :

October 1 2015

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2016

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT02252393

Start Date

October 1 2015

End Date

November 1 2016

Last Update

November 9 2016

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