A comparison of preliminary oncologic outcome and postoperative complications between patients undergoing either open or robotic radical cystectomy
Int. braz. j. urol
;
42(4): 663-670, July-Aug. 2016. tab
Article
Dans Anglais
| LILACS
| ID: lil-794684
ABSTRACT
ABSTRACT Purpose:
To compare complications and outcomes in patients undergoing either open radical cystectomy (ORC) or robotic-assisted radical cystectomy (RRC). Materials andMethods:
We retrospectively identified patients that underwent ORC or RRC between 2003- 2013. We statistically compared preliminary oncologic outcomes of patients for each surgical modality.Results:
92 (43.2%) and 121 (56.8%) patients underwent ORC and RRC, respectively. While operative time was shorter for ORC patients (403 vs. 508 min; p<0.001), surgical blood loss and transfusion rates were significantly lower in RRC patients (p<0.001 and 0.006). Length of stay was not different between groups (p=0.221). There was no difference in the proportion of lymph node-positive patients between groups. However, RRC patients had a greater number of lymph nodes removed during surgery (18 vs. 11.5; p<0.001). There was no significant difference in the incidence of pre-existing comorbidities or in the Clavien distribution of complications between groups. ORC and RRC patients were followed for a median of 1.38 (0.55-2.7) and 1.40 (0.582.59) years, respectively (p=0.850). During this period, a lower proportion (22.3%) of RRC patients experienced disease recurrence vs. ORC patients (34.8%). However, there was no significant difference in time to recurrence between groups. While ORC was associated with a higher all-cause mortality rate (p=0.049), there was no significant difference in disease-free survival time between groups.Conclusions:
ORC and RRC patients experience postoperative complications of similar rates and severity. However, RRC may offer indirect benefits via reduced surgical blood loss and need for transfusion.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Complications postopératoires
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Tumeurs de la vessie urinaire
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Cystectomie
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Interventions chirurgicales robotisées
Type d'étude:
Etude d'incidence
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Étude observationnelle
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Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adulte très âgé
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Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Nord
langue:
Anglais
Texte intégral:
Int. braz. j. urol
Thème du journal:
Urologie
Année:
2016
Type:
Article
Pays d'affiliation:
États-Unis d'Amérique
Institution/Pays d'affiliation:
Hartford Healthcare Medical Group/US
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