+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Perioperative outcome of laparoscopic radical cystectomy: comparison to open radical cystectomy

Perioperative outcome of laparoscopic radical cystectomy: comparison to open radical cystectomy

Nihon Hinyokika Gakkai Zasshi. Japanese Journal of Urology 101(6): 721-725

This study is to elucidate the advantage of laparoscopic radical cystectomy (LRC) over open radical cystectomy (ORC) in an early perioperative period. We investigated the perioperative outcome of the consecutive patients who underwent radical cystectomy at Yokohama City University Hospital. The data of 11 patients who underwent LRC from February 2008 to May 2009 was compared with that of 11 patients who had ORC from October 2006 to April 2009. The operative time was significantly longer in LRC (p = 0.00794); the mean operative time for LRC and ORC was 521 and 428 minutes respectively. The blood loss was significantly smaller in LRC (p = 0.0014); the mean volume of bleeding by LRC and ORC was 801 and 2,156 ml respectively. The date of the diet resumption after the operation comes significantly earlier in the case of LRC (p = 0.0142); the mean number of days to the resumption after LRC and ORC were 4.6 and 9.3 respectively. The top C-reactive protein (CRP) figure was significantly lower in LRC (p = 0.0124); the mean of peak CRP after LRC and ORC was 10.8 and 16.6 mg/dl respectively. As for postoperative complications, there were no significant differences between two groups (p = 0.375); the rate of complications occurred after LRC and ORC was 27 and 45% respectively. Also no significant differences were observed as to the number of dissected lymph nodes among these two groups (p = 0.262); the mean number in LRC and ORC was 10.9 and 13.7 respectively. From our investigations it is appropriate to conclude that in an early perioperative period LRC has advantages over ORC: a smaller amount of blooding, an earlier date of the diet resumption, and a lower peak of CRP. LRC is less invasive than ORC, though the former takes longer time for an operation than the latter.

(PDF emailed within 1 workday: $29.90)

Accession: 054935265

Download citation: RISBibTeXText

PMID: 20954378

Related references

Multicentric comparison of surgical outcomes obtained after open radical cystectomy and robot-assisted laparoscopic radical cystectomy for muscle-invasive bladder cancer. European Urology Supplements 17(2): E1027-E1028, 2018

Robot-assisted radical cystectomy. Pilot study for the prospective evaluation of perioperative parameters compared to open radical cystectomy. Der Urologe. Ausg. a 50(9): 1076-1082, 2012

Randomized Trial Comparing Open Radical Cystectomy and Robot-assisted Laparoscopic Radical Cystectomy: Oncologic Outcomes. European Urology 74(4): 465-471, 2018

Comparing Open Radical Cystectomy and Robot-assisted Laparoscopic Radical Cystectomy: A Randomized Clinical Trial. European Urology 67(6): 1042-1050, 2016

PE68: Perioperative outcomes of neoadjuvant chemotherapy versus radical cystectomy in patients treated with robot-assisted radical cystectomy: Results from the International Robotic Cystectomy Consortium (IRCC). European Urology Supplements 13(3): 41-42, 2014

Multidomain Quantitative Recovery Following Radical Cystectomy for Patients Within the Robot-assisted Radical Cystectomy with Intracorporeal Urinary Diversion Versus Open Radical Cystectomy Randomised Controlled Trial: The First 30 Patients. European Urology 74(4): 531-534, 2018

Comparative analysis of outcomes and costs following open radical cystectomy versus robot-assisted laparoscopic radical cystectomy: results from the US Nationwide Inpatient Sample. European Urology 61(6): 1239-1244, 2012

What about conventional laparoscopic radical cystectomy? Cost-analysis of open versus laparoscopic radical cystectomy. Journal of Endourology 28(4): 410-415, 2014

Comparison of complication rates and perioperative results of radical cystectomy in a single academic centre after introduction of robot-assisted radical cystectomy with intracorporeal urinary diversion. European Urology Supplements 16(6): E2350-E2351, 2017

Robot-assisted laparoscopic vs open radical cystectomy: comparison of complications and perioperative oncological outcomes in 200 patients. Bju International 112(4): E290-E294, 2013

Is robot-assisted radical cystectomy justified in the elderly? A comparison of robotic versus open radical cystectomy for bladder cancer in elderly ≥75 years old. Journal of Endourology 26(10): 1301-1306, 2014

Laparoscopic radical cystectomy with enteric urinary diversion. Alternative to open cystectomy?. Chirurgia 100(1): 41-46, 2005

The oncologic results of laparoscopic radical cystectomy are not (yet) equivalent to open cystectomy. Current Opinion in Urology 19(5): 522-526, 2009

Perioperative outcomes with laparoscopic radical cystectomy: "pure laparoscopic" and "open-assisted laparoscopic" approaches. Urology 70(5): 910-915, 2007

Robot-assisted radical cystectomy versus open radical cystectomy in patients with bladder cancer (RAZOR): an open-label, randomised, phase 3, non-inferiority trial. Lancet 391(10139): 2525-2536, 2018