Is robot-assisted radical cystectomy superior to standard open radical cystectomy? An Indian perspective

Journal of Minimal Access Surgery
Dharma RamAjay K Dewan

Abstract

Open radical cystectomy (ORC) has been the standard treatment for muscle-invasive bladder cancer, but this is associated with significant morbidity and mortality. Robot-assisted radical cystectomy (RARC) has been proposed as minimally invasive alternative with improved morbidity and acceptable oncological outcomes, but a large series featuring RARC and their comparison with ORC is still lacking in India despite more than a decade of its inception. We have conducted this study with an objective to see the feasibility of RARC in the Indian context and compare it with contemporary standard. This is a prospective cohort study conducted at two tertiary cancer institutes. We have evaluated the patients pertaining to operative and early post-operative factors from January 2014 to December 2015. Necessary statistical tests applied to see comparability of the arms and their outcomes. A total of 170 patients underwent surgery for carcinoma bladder (45 ORC while 125 RARC). Intraoperative blood loss (RARC and ORC: 228 and 529 ml) and average transfusion rate were lower with RARC. A trend towards benefit was noted in favour of robotic arm in terms of mean complication rate (RARC and ORC: 54 and 39%). The present study has shown comparable s...Continue Reading

References

Jun 26, 2004·BJU International·John P Stein, Donald G Skinner
Jul 21, 2009·The Journal of Urology·Giacomo NovaraVincenzo Ficarra
Apr 29, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·K TangZ Ye
Jan 20, 2015·Journal of Minimal Access Surgery·Mahesh DesaiArvind P Ganpule
Jan 20, 2015·Journal of Minimal Access Surgery·Saurabh Jain, Gagan Gautam
Jan 28, 2015·BJU International·Norm D SmithDipen J Parekh

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Citations

Feb 23, 2020·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Dechao FengPing Han
May 15, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Shoji KimuraShahrokh F Shariat

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