This was a retrospective study spanning from February 2004 to February 2017. A total of 115 patients were analyzed. Group A patients underwent a Pfannensteil incision and Group B underwent a midline incision. All preoperative, intraoperative and postoperative data were collected and analyzed. All patients underwent Standard radical Cystectomy with bilateral pelvic lymph node dissection, performed either through laparoscopic approach or robotic approach and specimen retrieval, along with diversion, was done through either Pfannensteil or midline incision.
The results demonstrated that both groups were similar in regards to age and sex. Group A had a lower post-operative pain score (P=0.0001), analgesic requirement (P=0.0003), length of hospital stay (P=0.0003), duration of surgery (P=0.0002), paralytic ileus duration (P=0.0006), and wound complication rates (P=0.002). However, post-operative hemoglobin drop, number of blood units transfused, and lymph node yield were comparable in both groups.
In conclusion, this study suggests that, minimally invasive (laparoscopic or robotic) radical cystectomy with Pfannensteil incision offers a lower morbidity when compared to a midline incision.
Presented by: Ganpule A
Affiliation: Urological Hospital, Nadiad, India
Written by: Hanan Goldberg, MD, Urologic Oncology Fellow (SUO), University of Toronto, Princess Margaret Cancer Centre.Twitter: @GoldbergHanan at the 37th Congress of Société Internationale d’Urologie - October 19-22, 2017- Lisbon, Portugal