Robot-assisted radical cystectomy is a promising alternative to open surgery in the Japanese population with a high rate of octogenarians

International Journal of Clinical Oncology
Hideto IwamotoAtsushi Takenaka

Abstract

Japanese patients who undergo radical cystectomy have a unique feature, i.e., the ratio of octogenarians is higher than in Western patients because of the aging Japanese population. The purpose of this study was to compare perioperative outcomes, complications, and oncologic outcomes between robot-assisted radical cystectomy and open radical cystectomy. From 2010-2015, 20 (of which 8 were octogenarians) and 40 (of which 11 were octogenarians) patients underwent robot-assisted radical cystectomy and open radical cystectomy, respectively. There was no significant difference in terms of patient demographics between the two surgical cohorts, regardless of patient age. In the octogenarian patient cohort, the rates of previous abdominal surgery and the median age-adjusted Charlson comorbidity index were higher. The median estimated blood loss, transfusion rate and the days to resumption of a regular diet were significantly lower in the robot-assisted radical cystectomy cohort, regardless of patient age. Robot-assisted radical cystectomy significantly decreased grade II or higher complications, but there were no significant differences in terms of decreasing grade III or higher complications, regardless of patient age. Positive surgic...Continue Reading

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Citations

Aug 25, 2018·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Takuya KoieYasuhiro Hashimoto
May 15, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Shoji KimuraShahrokh F Shariat
Apr 12, 2019·International Journal of Clinical Oncology·Katsuhiro ItoOsamu Ogawa
Jan 29, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Takuya KoieKeita Nakane
Aug 1, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Tetsuya Fujimura
Feb 24, 2021·Journal of Endourology·Janet Baack KukrejaNeema Navai
May 19, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Pengchao WangXu Zhang

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