Impact of Manual Versus Mechanical Intestinal Suturing on the Incidence and Management of Postoperative Complications in Patients Undergoing Radical Cystectomy with Ileal Conduit.

Currently, no specific trial compares hand-sewn intestinal anastomosis with mechanical stapled anastomosis in patients undergoing radical cystectomy with ileal conduit.

At Fundació Puigvert, approximately one hundred radical cystectomies with ileal conduit are performed annually. Due to the lack of evidence regarding the superiority of either intestinal anastomosis technique, the decision to use hand-sewn versus stapled anastomosis depends on the surgeon's expertise, without considering the potential impact of each technique on postoperative complication rates, surgical time, or functional outcomes.

Currently, no well-designed surgical trials demonstrate differences between hand-sewn and mechanical stapled anastomosis in radical cystectomy regarding intraoperative and postoperative complications. For this reason, the investigators will conduct a trial to assess the impact of each anastomosis technique

Inclusion Criteria:

• Patient who consents to participate and signs the informed consent.
• Patient candidate for radical open cystectomy and ileal conduit.

Exclusion Criteria:

• Patient who is unable to complete the study questionnaires.
• Patient who has a life expectancy of less than 1 year.
• Candidate patients for other urinary diversions other than ileal conduit as a first option
• Candidate patients for laparoscopic or robotic cystectomy..