Open versus robotic cystectomy: Comparison of outcomes
Open radical cystectomy (ORC) is the current gold standard treatment for muscle invasive bladder cancer. As surgeons become more proficient in minimally invasive and robotic surgical techniques, the number of patients undergoing robotic-assisted radical cystectomy (RARC) is increasing. Although mi...
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| Format: | Article |
| Language: | English |
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Korean Urological Association
2016-06-01
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| Series: | Investigative and Clinical Urology |
| Subjects: | |
| Online Access: | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-57-S36.pdf |
| _version_ | 1830354091841159168 |
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| author | Rachel B. Davis Nicholas J. Farber Alexandra L. Tabakin Isaac Y. Kim Sammy E. Elsamra |
| author_facet | Rachel B. Davis Nicholas J. Farber Alexandra L. Tabakin Isaac Y. Kim Sammy E. Elsamra |
| author_sort | Rachel B. Davis |
| collection | DOAJ |
| description | Open radical cystectomy (ORC) is the current gold standard treatment for muscle invasive bladder cancer. As surgeons become
more proficient in minimally invasive and robotic surgical techniques, the number of patients undergoing robotic-assisted radical
cystectomy (RARC) is increasing. Although minimally invasive methods are on the rise, research that critically compares open
surgery with robotic methods is limited. In this review, we surveyed and appraised the current literature comparing ORC and RARC
with regards to perioperative, functional, and oncologic outcomes in order to distinguish the benefits and disadvantages of each
method. Here we report that RARC is associated with several perioperative advantages over ORC such as lower estimated blood
loss and transfusion rate, and possibly faster gastrointestinal recovery, lower narcotic requirement, and shorter length of stay. ORC
is less costly and permits less time in the operating room. Recent data suggests that there is no difference between ORC and RARC
when comparing urinary continence and postoperative quality of life. Moreover, ORC and RARC are both associated with similar
rates of obtaining positive surgical margins, lymph node yield, and recurrence. However, RARC patients had an increased likelihood
of having distant metastases to extrapelvic lymph nodes and the peritoneum. At this point, it is unclear if ORC or RARC has superior
patient outcomes, and more research is needed to ascertain management-altering conclusions. |
| first_indexed | 2024-12-20T01:25:39Z |
| format | Article |
| id | doaj.art-c56090676d1e47e8803d6a4930e74b4e |
| institution | Directory Open Access Journal |
| issn | 2466-0493 2466-054X |
| language | English |
| last_indexed | 2024-12-20T01:25:39Z |
| publishDate | 2016-06-01 |
| publisher | Korean Urological Association |
| record_format | Article |
| series | Investigative and Clinical Urology |
| spelling | doaj.art-c56090676d1e47e8803d6a4930e74b4e2022-12-21T19:58:15ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2016-06-0157Suppl 1S36S4310.4111/icu.2016.57.S1.S36Open versus robotic cystectomy: Comparison of outcomesRachel B. Davis0Nicholas J. Farber1Alexandra L. Tabakin2Isaac Y. Kim3Sammy E. Elsamra 4Rutgers – Robert Wood Johnson Medical SchoolRutgers – Robert Wood Johnson Medical SchoolRutgers – Robert Wood Johnson Medical SchoolRutgers Cancer Institute of New JerseyRutgers – Robert Wood Johnson Medical SchoolOpen radical cystectomy (ORC) is the current gold standard treatment for muscle invasive bladder cancer. As surgeons become more proficient in minimally invasive and robotic surgical techniques, the number of patients undergoing robotic-assisted radical cystectomy (RARC) is increasing. Although minimally invasive methods are on the rise, research that critically compares open surgery with robotic methods is limited. In this review, we surveyed and appraised the current literature comparing ORC and RARC with regards to perioperative, functional, and oncologic outcomes in order to distinguish the benefits and disadvantages of each method. Here we report that RARC is associated with several perioperative advantages over ORC such as lower estimated blood loss and transfusion rate, and possibly faster gastrointestinal recovery, lower narcotic requirement, and shorter length of stay. ORC is less costly and permits less time in the operating room. Recent data suggests that there is no difference between ORC and RARC when comparing urinary continence and postoperative quality of life. Moreover, ORC and RARC are both associated with similar rates of obtaining positive surgical margins, lymph node yield, and recurrence. However, RARC patients had an increased likelihood of having distant metastases to extrapelvic lymph nodes and the peritoneum. At this point, it is unclear if ORC or RARC has superior patient outcomes, and more research is needed to ascertain management-altering conclusions.https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-57-S36.pdfCystectomy; Outcome assessment; Robotic surgical procedures; Urinary bladder neoplasms; Urinary diversion |
| spellingShingle | Rachel B. Davis Nicholas J. Farber Alexandra L. Tabakin Isaac Y. Kim Sammy E. Elsamra Open versus robotic cystectomy: Comparison of outcomes Investigative and Clinical Urology Cystectomy; Outcome assessment; Robotic surgical procedures; Urinary bladder neoplasms; Urinary diversion |
| title | Open versus robotic cystectomy: Comparison of outcomes |
| title_full | Open versus robotic cystectomy: Comparison of outcomes |
| title_fullStr | Open versus robotic cystectomy: Comparison of outcomes |
| title_full_unstemmed | Open versus robotic cystectomy: Comparison of outcomes |
| title_short | Open versus robotic cystectomy: Comparison of outcomes |
| title_sort | open versus robotic cystectomy comparison of outcomes |
| topic | Cystectomy; Outcome assessment; Robotic surgical procedures; Urinary bladder neoplasms; Urinary diversion |
| url | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-57-S36.pdf |
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