To report perioperative outcomes in robot assisted radical cystectomy and laparoscopic radical cystectomy.
From January 2010 and July 2019, 298 patients with bladder cancer underwent RARC (n = 172) and LRC (n = 126) at our institution were enrolled in the retrospective study. The demographic, perioperative, and complication data were collected and analyzed.
The RARC group had less operative duration (P < 0.001), less blood loss (P < 0.001), lower transfusion rate (P < 0.05) and shorter hospital stay (P < 0.001) than LRC group. The 90-day re-admission rate between the RARC and LRC group had no significant differences (P = 0.401). The 90-day overall complication rates in RARC group was much lower than LRC group (P = 0.009). The 90-day minor complication rates (Clavien-Dindo grade ≤ IIA) between the RARC and LRC groups were similar (P = 0.274). The 90-day major complication rates (Clavien-Dindo grade ≥ IIIA) in LRC group was higher than RARC group (P = 0.022).
RARC approach appears to offer some operative and perioperative benefits compared with the LRC approach. Larger, randomized studies are required to confirm these findings. This article is protected by copyright. All rights reserved.
The international journal of medical robotics + computer assisted surgery : MRCAS. 2020 Jan 10 [Epub ahead of print]
Shiwei Zhang, Tingsheng Lin, Qing Zhang, Shengjie Zhang, Guangxiang Liu, Changwei Ji, Hongqian Guo
Department of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University, Nanjing, Jiangsu, China.