Robotic versus open radical cystectomy: prospective comparison of perioperative and pathologic outcomes in Japan

Japanese Journal of Clinical Oncology
Tatsuo GondoMasaaki Tachibana

Abstract

In Japan, no study has compared the perioperative outcomes observed between robot-assisted radical cystectomy (RARC) and open radical cystectomy (ORC). This study aimed at a prospective comparison of the perioperative outcomes between RARC and ORC performed by a single surgeon. Between 2008 and 2011, 26 bladder cancer patients underwent radical cystectomy by one surgeon, 11 robotically and 15 by open procedure. We prospectively collected perioperative and pathological data for these 26 patients, and retrospectively compared these two different surgical procedures. The RARC cohort had a significant decrease in both estimated blood loss (656.9 vs. 1788.7 ml, P=0.0015) and allogeneic transfusion requirement (0 vs. 40%, P=0.0237). The total operative time was almost the same (P=0.2306) but increased duration of bladder removal and lymphadenectomy was observed in the RARC cohort (P=0.0049). Surgery-related complication rates within 30 days were not significantly different (P=0.4185). Positive surgical margin was observed in three patients in the ORC cohort and in one patient in the RARC cohort (P=0.4664). The RARC cohort had a larger number of removed lymph nodes than the ORC cohort, and the difference was statistically significant ...Continue Reading

References

Mar 16, 2000·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·M Extermann
Sep 19, 2000·The Journal of Urology·M D DunnR V Clayman
Feb 7, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·J P SteinD G Skinner
Nov 7, 2001·The Journal of Urology·S S ChangM S Cookson
Apr 11, 2003·The Journal of Urology·Jens RassweilerThomas Frede
Apr 13, 2004·The Journal of Urology·Harry HerrUNKNOWN Bladder Cancer Collaborative Group
Jun 26, 2004·BJU International·John P Stein, Donald G Skinner
Jul 13, 2004·The Journal of Urology·Jay B BasilloteAllan M Shanberg
Jun 1, 2005·European Urology·Xavier CathelineauGuy Vallancien
Jan 25, 2006·BJU International·John P SteinDonald G Skinner
Mar 15, 2006·Urology·Colin P N Dinney
Apr 3, 2007·European Urology·Raj S Pruthi, Eric M Wallen
Jul 17, 2007·The Journal of Urology·Raj S Pruthi, Eric M Wallen
Feb 22, 2008·The Journal of Urology·William T LowranceMichael S Cookson
Mar 8, 2008·BJU International·Khurshid A GuruHyung L Kim
Dec 3, 2008·Journal of Endourology·Raj S PruthiEric M Wallen
Jun 30, 2009·European Urology·Casey K NgDouglas S Scherr
Dec 21, 2010·Current Opinion in Urology·Eugene K ChaDouglas S Scherr

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Citations

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
Nov 28, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Stavros I Tyritzis, N Peter Wiklund
Jul 21, 2016·Investigative and Clinical Urology·Dong Jae BakTae Gyun Kwon
Apr 25, 2019·The Cochrane Database of Systematic Reviews·Bhavan Prasad RaiOmar M Aboumarzouk
Jul 26, 2014·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Jun TeishimaAkio Matsubara
Dec 4, 2012·Current Opinion in Urology·Sandip M Prasad, Arieh L Shalhav
Jul 8, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Yu Guang TanLui Shiong Lee
May 15, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Shoji KimuraShahrokh F Shariat
Aug 1, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Tetsuya Fujimura
Mar 30, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Soo Kyung SonSeon Heui Lee
Jul 17, 2019·BJU International·Bhavan Prasad RaiOmar M Aboumarzouk
Mar 16, 2021·ANZ Journal of Surgery·Peadar S WatersAlexander G Heriot

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