Perioperative outcomes and Oncologic Efficacy from a Pilot Prospective Randomized Clinical Trial of Open Versus Robotic Assisted Radical Cystectomy

作者: Dipen J. Parekh , Jamie Messer , John Fitzgerald , Barbara Ercole , Robert Svatek

DOI: 10.1016/J.JURO.2012.09.077

关键词:

摘要: Purpose: Robotic assisted laparoscopic radical cystectomy for bladder cancer has been reported with potential improvement in perioperative morbidity compared to the open approach. However, most studies are retrospective significant selection bias.Materials and Methods: A pilot prospective randomized trial evaluating outcomes oncologic efficacy of vs robotic consecutive patients was performed from July 2009 June 2011.Results: To date 47 have data available on 40 analysis. Each group similar regard age, gender, race, body mass index comorbidities, as well previous surgeries, operative time, postoperative complications final pathological stage. We observed no differences between positive margins (5% each, p = 0.50) or number lymph nodes removed (23, IQR 15–28) ...

参考文章(30)
David R. Yates, Christophe Vaessen, Morgan Roupret, From Leonardo to da Vinci: the history of robot‐assisted surgery in urology BJUI. ,vol. 108, pp. 1708- 1713 ,(2011) , 10.1111/J.1464-410X.2011.10576.X
Angela B. Smith, Mathew Raynor, Christopher L. Amling, J. Erik Busby, Erik Castle, Rodney Davis, Matthew Nielsen, Raju Thomas, Eric M. Wallen, Michael Woods, Raj S. Pruthi, Multi-Institutional Analysis of Robotic Radical Cystectomy for Bladder Cancer: Perioperative Outcomes and Complications in 227 Patients Journal of Laparoendoscopic & Advanced Surgical Techniques. ,vol. 22, pp. 17- 21 ,(2012) , 10.1089/LAP.2011.0326
Declan G Murphy, Ben J Challacombe, Oussama Elhage, Tim S O'Brien, Peter Rimington, Mohammad Shamim Khan, Prokar Dasgupta, None, Robotic-assisted Laparoscopic Radical Cystectomy with Extracorporeal Urinary Diversion: Initial Experience European Urology. ,vol. 54, pp. 570- 580 ,(2008) , 10.1016/J.EURURO.2008.04.011
Raj S Pruthi, Angela Smith, Eric M Wallen, None, Evaluating the learning curve for robot-assisted laparoscopic radical cystectomy. Journal of Endourology. ,vol. 22, pp. 2469- 2474 ,(2008) , 10.1089/END.2008.0320
Raj S. Pruthi, Eric M. Wallen, Robotic Assisted Laparoscopic Radical Cystoprostatectomy: Operative and Pathological Outcomes The Journal of Urology. ,vol. 178, pp. 814- 818 ,(2007) , 10.1016/J.JURO.2007.05.040
Eric C. Kauffman, Casey K. Ng, Ming Ming Lee, Brandon J. Otto, Alyse Portnoff, Gerald J. Wang, Douglas S. Scherr, Critical analysis of complications after robotic-assisted radical cystectomy with identification of preoperative and operative risk factors BJU International. ,vol. 105, pp. 520- 527 ,(2010) , 10.1111/J.1464-410X.2009.08843.X
Ahmad Shabsigh, Ruslan Korets, Kinjal C. Vora, Christine M. Brooks, Angel M. Cronin, Caroline Savage, Ganesh Raj, Bernard H. Bochner, Guido Dalbagni, Harry W. Herr, S. Machele Donat, Defining Early Morbidity of Radical Cystectomy for Patients with Bladder Cancer Using a Standardized Reporting Methodology European Urology. ,vol. 55, pp. 164- 176 ,(2009) , 10.1016/J.EURURO.2008.07.031
G. Novara, V. Ficarra, Robotic-assisted laparoscopic radical cystectomy: where do we stand? International Journal of Clinical Practice. ,vol. 63, pp. 185- 188 ,(2009) , 10.1111/J.1742-1241.2008.01948.X
John W. Davis, Kris Gaston, Roosevelt Anderson, Colin P.N. Dinney, H. Barton Grossman, Mark F. Munsell, Ashish M. Kamat, Robot Assisted Extended Pelvic Lymphadenectomy at Radical Cystectomy: Lymph Node Yield Compared With Second Look Open Dissection The Journal of Urology. ,vol. 185, pp. 79- 84 ,(2011) , 10.1016/J.JURO.2010.09.031