Comparison of perioperative outcomes in robot‐assisted radical cystectomy and laparoscopic radical cystectomy. Issue 2 (17th February 2020)

• Record Type: Journal Article
• Authors: Zhang, Shiwei; Lin, Tingsheng; Zhang, Qing; Zhang, Shengjie; Liu, Guangxiang; Ji, Changwei; Guo, Hongqian
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 16:Issue 2(2020)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-02-17
• Subjects: bladder cancer -- laparoscopic radical cystectomy -- perioperative outcomes -- robot assisted radical cystectomy; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.2074
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: Objective: To report perioperative outcomes in robot‐assisted radical cystectomy and laparoscopic radical cystectomy. Patients and Methods: Between January 2010 and July 2019, 298 patients with bladder cancer underwent robotic‐assisted radical cystectomy (RARC) (n = 172) and laparoscopic radical cystectomy (LRC) (n = 126) at our institution were enrolled in the retrospective study. The demographic, perioperative, and complication data were collected and analyzed. Results: The RARC group had less operative duration ( P < .001), less blood loss ( P < .001), lower transfusion rate ( P < .05), and shorter hospital stay ( P < .001) than the LRC group. The 90‐day readmission rate between the RARC and LRC group had no significant differences ( P = .401). The 90‐day overall complication rates in the RARC group was much lower than the LRC group ( P = .009). The 90‐day minor complication rates (Clavien‐Dindo grade ≤ IIA) between the RARC and LRC groups were similar ( P = .274). The 90‐day major complication rates (Clavien‐Dindo grade ≥ IIIA) in the LRC group was higher than the RARC group ( P = .022). Conclusions: The RARC approach appears to offer some operative and perioperative benefits compared with the LRC approach. Larger, randomized studies are required to confirm these findings.