Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results

Radical cystectomy (RC) remains the main method of surgical treatment of patients with muscle-invasive bladder cancer. Currently, in case of radical cystectomy, along with the open, robot-assisted access is actively used. This review presents an analysis of the main results of a robot-assisted RC (R...

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Main Authors: B. G. Guliev, R. R. Bolokotov
Format: Article
Language:Russian
Published: State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 2020-04-01
Series:Vestnik Urologii
Subjects:
Online Access:https://www.urovest.ru/jour/article/view/306
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author B. G. Guliev
R. R. Bolokotov
author_facet B. G. Guliev
R. R. Bolokotov
author_sort B. G. Guliev
collection DOAJ
description Radical cystectomy (RC) remains the main method of surgical treatment of patients with muscle-invasive bladder cancer. Currently, in case of radical cystectomy, along with the open, robot-assisted access is actively used. This review presents an analysis of the main results of a robot-assisted RC (RARC), which are compared with those after an open RC. Perioperative parameters, functional and oncological results of robot-assisted and open RC were evaluated. According to the data obtained, it was found that with robot-assisted access there is a low volume of blood loss and a percentage of blood transfusion, but a high cost and a long operation time. In addition, there was no significant difference in the daytime and nighttime continence, and the quality of life of patients, as well as oncologic results between the two procedures. Further accumulation of experience allows us to improve the oncological and functional results of the robot-assisted RC, as well as to reduce the number of postoperative complications, high degree according to Clavien-Dindo grade especially.
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spelling doaj.art-ac87f9f90a224506bc07cbc141a813fa2024-03-06T08:56:04ZrusState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationVestnik Urologii2308-64242020-04-0181596810.21886/2308-6424-2020-8-1-59-68231Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of ResultsB. G. Guliev0R. R. Bolokotov1North-Western State Medical university n.a. I.I. Mechnikov; Urology Centre with Robot-assisted Surgery, St. Petersburg Mariinsky HospitalUrology Centre with Robot-assisted Surgery, St. Petersburg Mariinsky HospitalRadical cystectomy (RC) remains the main method of surgical treatment of patients with muscle-invasive bladder cancer. Currently, in case of radical cystectomy, along with the open, robot-assisted access is actively used. This review presents an analysis of the main results of a robot-assisted RC (RARC), which are compared with those after an open RC. Perioperative parameters, functional and oncological results of robot-assisted and open RC were evaluated. According to the data obtained, it was found that with robot-assisted access there is a low volume of blood loss and a percentage of blood transfusion, but a high cost and a long operation time. In addition, there was no significant difference in the daytime and nighttime continence, and the quality of life of patients, as well as oncologic results between the two procedures. Further accumulation of experience allows us to improve the oncological and functional results of the robot-assisted RC, as well as to reduce the number of postoperative complications, high degree according to Clavien-Dindo grade especially.https://www.urovest.ru/jour/article/view/306bladder cancerradical cystectomyrobot-assisted radical cystectomyopen radical cystectomy
spellingShingle B. G. Guliev
R. R. Bolokotov
Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results
Vestnik Urologii
bladder cancer
radical cystectomy
robot-assisted radical cystectomy
open radical cystectomy
title Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results
title_full Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results
title_fullStr Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results
title_full_unstemmed Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results
title_short Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results
title_sort robot assisted and open radical cystectomy comparative analysis of results
topic bladder cancer
radical cystectomy
robot-assisted radical cystectomy
open radical cystectomy
url https://www.urovest.ru/jour/article/view/306
work_keys_str_mv AT bgguliev robotassistedandopenradicalcystectomycomparativeanalysisofresults
AT rrbolokotov robotassistedandopenradicalcystectomycomparativeanalysisofresults