Comparative analysis of early perioperative outcomes following radical cystectomy by either the robotic or open method.

Anton Galich, Samuel Sterrett, Tanya Nazemi, Garrett Pohlman, Lynette M Smith, K. C. Balaji

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

OBJECTIVE: We analyzed early perioperative outcomes following radical cystectomy by the robotic method compared with the conventional open method. METHODS: All relevant clinical information was entered in a Microsoft Access Database and queried. P < 0.05 were considered statistically significant. RESULTS: The study cohort comprised 37 consecutive patients undergoing radical cystectomy; 24 (64.9%) cases were performed by the conventional open method and 13 (29.7%) by the robotic method. Body mass index, age, sex, blood transfusion rate, and median decrease in hemoglobin were comparable between the 2 groups. The robotic method resulted in significantly lower median estimated blood loss, shorter hospital stay, and longer operating time compared with the open group (P < 0.05). Four (16.7%) perioperative complications occurred in the open group compared with 2 (15.4%) in the robotic group (P = 1.0). The incidence of organ-confined (< or =T2N0Mx) disease was 9 (37.5%) and 7 (53.8%) in the open and robotic groups, respectively (P = 0.49). CONCLUSIONS: Radical cystectomy by the robotic method produces early perioperative results comparable to those of the open method. Although intraoperative estimated blood loss and hospital stay were significantly lower in the robotic group, operative time was longer which likely reflects our early operative experience with radical cystectomy by the robotic method.

Original languageEnglish (US)
Pages (from-to)145-150
Number of pages6
JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Volume10
Issue number2
StatePublished - Jan 1 2006

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Cystectomy
Robotics
Length of Stay
Operative Time
Blood Transfusion
Hemoglobins
Body Mass Index
Cohort Studies
Databases
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Comparative analysis of early perioperative outcomes following radical cystectomy by either the robotic or open method. / Galich, Anton; Sterrett, Samuel; Nazemi, Tanya; Pohlman, Garrett; Smith, Lynette M; Balaji, K. C.

In: JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, Vol. 10, No. 2, 01.01.2006, p. 145-150.

Research output: Contribution to journalArticle

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AU - Balaji, K. C.

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