Outcomes and complications of radical cystectomy with ileal conduit urinary diversion: A comparison between open, semi-robotic and totally robotic surgery.

We aimed to compare open versus robotic-assisted radical cystectomy (RARC) with intracorporeal ileal conduit (ICIC), versus RARC with extracorporeal ileal conduit (ECIC) formation for bladder cancer.

Open, RARC-ECIC and RARC-ICIC groups were compared in terms of patient demographics, operative and postoperative parameters, pathological parameters, complications, and functional outcomes.

Mean operative times were lower in the RARC-ECIC group (p=0.004). Mean estimated blood loss was significantly lower (p<0.01) in the robotic groups. The blood transfusion was lower in RARC-ICIC groups (p<0.001). Rates of stage pT3-4 disease were highest in the RARC-ICIC group (p=0.004). LOS was significantly shorter in the RARC-ICIC group (p=0.01). Numbers of Clavien 3-5 complications were lower in the robotic groups (p=0.012).

RARC and ICIC is a complex procedure involving an increased operation time but with the advantages of lower estimated blood loss, transfusion rates, complications, and hospital stays compared to open surgery. This article is protected by copyright. All rights reserved.

The international journal of medical robotics + computer assisted surgery : MRCAS. 2021 Jan 05 [Epub ahead of print]

Erem Asil, Abdullah Erdem Canda, Ali Fuat Atmaca, Bahri Gok, Muhammet Fuat Ozcan, Arslan Ardicoglu, Mevlana Derya Balbay, Mehmet Yıldızhan

Ankara City Hospital, Department of Urology, Ankara, Turkey., Koç University, School of Medicine, Department of Urology, Istanbul, Turkey., Private Memorial Hospital, Department of Urology, Ankara, Turkey., Ankara Yildirim Beyazit University, School of Medicine affiliated with Ankara City Hospital, Department of Urology, Ankara, Turkey., Private Medicana Hospital, Department of Urology, Ankara, Turkey.