Robot-assisted laparoscopic vs open radical cystectomy: comparison of complications and perioperative oncological outcomes in 200 patients.

作者: A Karim Kader , Kyle A Richards , L Spencer Krane , Joseph A Pettus , John J Smith

DOI: 10.1111/BJU.12167

关键词:

摘要: Objective To compare perioperative morbidity and oncological outcomes of robot-assisted laparoscopic radical cystectomy (RARC) to open RC (ORC) at a single institution. Patients Methods A retrospective analysis was performed on consecutive series patients undergoing (100 RARC 100 ORC) Wake Forest University with curative intent from 2006 until 2010. Complication data using the Clavien system were collected for 90 days postoperatively. Complications other compared between patient groups. Results Patients in both groups had comparable preoperative characteristics. The overall major complication (Clavien ≥3) rates lower 35 vs 57% (P = 0.001) 10 22% 0.019), respectively. There no significant differences pathological outcomes, including stage, number nodes harvested or positive margin rates. Conclusion Our suggest that have ORC, fewer complications. Definitive claims about comparative require results larger, randomised controlled trials.

参考文章(27)
Richard Lee, Bilal Chughtai, Michael Herman, Shahrokh F. Shariat, Douglas S. Scherr, Cost-analysis comparison of robot-assisted laparoscopic radical cystectomy (RC) vs open RC BJU International. ,vol. 108, pp. 976- 983 ,(2011) , 10.1111/J.1464-410X.2011.10468.X
Aaron D. Martin, Rafael N. Nunez, Anna Pacelli, Michael E. Woods, Rodney Davis, Raju Thomas, Paul E. Andrews, Erik P. Castle, Robot-assisted radical cystectomy: intermediate survival results at a mean follow-up of 25 months. BJUI. ,vol. 105, pp. 1706- 1709 ,(2009) , 10.1111/J.1464-410X.2009.09042.X
Muhammad Shamim Khan, Oussama Elhage, Ben Challacombe, Peter Rimington, Declan Murphy, Prokar Dasgupta, None, Analysis of Early Complications of Robotic-assisted Radical Cystectomy Using a Standardized Reporting System Urology. ,vol. 77, pp. 357- 362 ,(2011) , 10.1016/J.UROLOGY.2010.04.063
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
Raj S. Pruthi, Matthew E. Nielsen, Jeff Nix, Angela Smith, Heather Schultz, Eric M. Wallen, Robotic Radical Cystectomy for Bladder Cancer: Surgical and Pathological Outcomes in 100 Consecutive Cases Journal of Urology. ,vol. 183, pp. 510- 515 ,(2010) , 10.1016/J.JURO.2009.10.027
Kyle A. Richards, Karim Kader, Joseph A. Pettus, John J. Smith, Ashok K. Hemal, Does initial learning curve compromise outcomes for robot-assisted radical cystectomy? A critical evaluation of the first 60 cases while establishing a robotics program. Journal of Endourology. ,vol. 25, pp. 1553- 1558 ,(2011) , 10.1089/END.2010.0630
Gerald J Wang, Casey K Ng, Daniel A Barocas, Jay D Raman, Philip S Li, Douglas S Scherr, ROBOTIC VERSUS OPEN RADICAL CYSTECTOMY: PROSPECTIVE COMPARISON OF PERIOPERATIVE OUTCOMES AND PATHOLOGIC MEASURES OF EARLY ONCOLOGIC EFFICACY The Journal of Urology. ,vol. 179, pp. 489- 489 ,(2008) , 10.1016/S0022-5347(08)61440-8
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