Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results
ABSTRACTObjectives:To evaluate the differences of peri-operatory and oncological outcomes between Laparoscopic Radical Cystectomy and Open Radical Cystectomy in our center.Materials and Methods:Overall, 50 patients were included in this non randomized match-pair analysis: 25 patients who had undergo...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2015-08-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000400635&lng=en&tlng=en |
| _version_ | 1819116910305869824 |
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| author | Marcos Tobias-Machado Danniel Frade Said Anuar Ibrahim Mitre Alexandre Pompeo Antonio Carlos Lima Pompeo |
| author_facet | Marcos Tobias-Machado Danniel Frade Said Anuar Ibrahim Mitre Alexandre Pompeo Antonio Carlos Lima Pompeo |
| author_sort | Marcos Tobias-Machado |
| collection | DOAJ |
| description | ABSTRACTObjectives:To evaluate the differences of peri-operatory and oncological outcomes between Laparoscopic Radical Cystectomy and Open Radical Cystectomy in our center.Materials and Methods:Overall, 50 patients were included in this non randomized match-pair analysis: 25 patients who had undergone Laparoscopic Radical Cystectomy for invasive bladder cancer (Group-1) and 25 patients with similar characteristics who had undergone Open Radical Cystectomy (Group-2). The patients were operated from January 2005 to December 2012 in a single Institution.Results:Mean operative time for groups 1 and 2 were 350 and 280 minutes (p=0.03) respectively. Mean blood loss was 330 mL for group 1 and 580 mL for group 2 (p=0.04). Intraoperative transfusion rate was 0% and 36% for groups 1 and 2 respectively (p=0.005). Perioperative complication rate was similar between groups. Mean time to oral intake was 2 days for group 1 and 3 days for group 2 (p=0.08). Median hospital stay was 7 days for group 1 and 13 for group 2 (p=0.04). There were no differences in positive surgical margins and overall survival, between groups.Conclusions:In a reference center with pelvic laparoscopic expertise, Laparoscopic Radical Cystectomy may be considered a safe procedure with similar complication rate of Open Radical Cystectomy. Laparoscopic Radical Cystectomy is more time consuming, with reduced bleeding and transfusion rate. Hospital stay seems to be shorter. Oncologically no difference was observed in our mid-term follow-up. |
| first_indexed | 2024-12-22T05:24:35Z |
| format | Article |
| id | doaj.art-7e6207de87a04f668a7850ede077f84a |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-12-22T05:24:35Z |
| publishDate | 2015-08-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-7e6207de87a04f668a7850ede077f84a2022-12-21T18:37:37ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192015-08-0141463564110.1590/S1677-5538.IBJU.2014.0168S1677-55382015000400635Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological resultsMarcos Tobias-MachadoDanniel Frade SaidAnuar Ibrahim MitreAlexandre PompeoAntonio Carlos Lima PompeoABSTRACTObjectives:To evaluate the differences of peri-operatory and oncological outcomes between Laparoscopic Radical Cystectomy and Open Radical Cystectomy in our center.Materials and Methods:Overall, 50 patients were included in this non randomized match-pair analysis: 25 patients who had undergone Laparoscopic Radical Cystectomy for invasive bladder cancer (Group-1) and 25 patients with similar characteristics who had undergone Open Radical Cystectomy (Group-2). The patients were operated from January 2005 to December 2012 in a single Institution.Results:Mean operative time for groups 1 and 2 were 350 and 280 minutes (p=0.03) respectively. Mean blood loss was 330 mL for group 1 and 580 mL for group 2 (p=0.04). Intraoperative transfusion rate was 0% and 36% for groups 1 and 2 respectively (p=0.005). Perioperative complication rate was similar between groups. Mean time to oral intake was 2 days for group 1 and 3 days for group 2 (p=0.08). Median hospital stay was 7 days for group 1 and 13 for group 2 (p=0.04). There were no differences in positive surgical margins and overall survival, between groups.Conclusions:In a reference center with pelvic laparoscopic expertise, Laparoscopic Radical Cystectomy may be considered a safe procedure with similar complication rate of Open Radical Cystectomy. Laparoscopic Radical Cystectomy is more time consuming, with reduced bleeding and transfusion rate. Hospital stay seems to be shorter. Oncologically no difference was observed in our mid-term follow-up.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000400635&lng=en&tlng=enUrinary BladderCystectomyLaparoscopyUrinary Bladder Neoplasms |
| spellingShingle | Marcos Tobias-Machado Danniel Frade Said Anuar Ibrahim Mitre Alexandre Pompeo Antonio Carlos Lima Pompeo Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results International Brazilian Journal of Urology Urinary Bladder Cystectomy Laparoscopy Urinary Bladder Neoplasms |
| title | Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results |
| title_full | Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results |
| title_fullStr | Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results |
| title_full_unstemmed | Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results |
| title_short | Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results |
| title_sort | comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center perioperative and oncological results |
| topic | Urinary Bladder Cystectomy Laparoscopy Urinary Bladder Neoplasms |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000400635&lng=en&tlng=en |
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