Similar oncologic efficacy for robotic, open cystectomy

December 21, 2012
Similar oncologic efficacy for robotic, open cystectomy
For patients with bladder cancer undergoing radical cystectomy, a robotic approach seems to have the same oncologic efficacy as an open approach and demonstrates potential perioperative benefits, according to a pilot study published in the February issue of The Journal of Urology.

(HealthDay)—For patients with bladder cancer undergoing radical cystectomy, a robotic approach seems to have the same oncologic efficacy as an open approach and demonstrates potential perioperative benefits, according to a pilot study published in the February issue of The Journal of Urology.

Dipen J. Parekh, M.D., from the University of Texas Health Sciences Center at San Antonio, and colleagues conducted a comparing the perioperative outcomes and oncologic efficacy of open and robotic assisted laparoscopic radical cystectomy. Data were available for 40 patients.

The researchers observed no significant differences between the groups with respect to the oncologic outcomes of positive margins (5 percent each) or the number of lymph nodes removed (23 for open radical cystectomy versus 11 for robotic assisted laparoscopic radical cystectomy; P = 0.135). The estimated blood loss was reduced for the robotic assisted laparoscopic radical cystectomy group (400 ml) compared with the open radical cystectomy group (800 ml). In addition, there was a trend toward a decreased rate of stays longer than five days in the robotic group (65 versus 90 percent; P = 0.11) as well as a trend toward fewer transfusions (40 versus 50 percent, P = 0.26).

"Our results suggest no significant differences in surrogates of oncologic efficacy. Robotic assisted laparoscopic radical cystectomy demonstrates potential benefits of decreased estimated blood loss and decreased hospital stay compared to open radical cystectomy," the authors write. "Our results need to be validated in a larger multicenter prospective ."

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Post-radical cystectomy discharge patterns described

March 29, 2012

(HealthDay) -- In the past decade there has been a decrease in prolonged length of stay following radical cystectomy in the United States, while rates of transfer to a facility have remained stable, with insurance status ...

Prognosis after cystectomy not affected by smoking

October 15, 2012

(HealthDay)—Despite the link between cigarette smoking and the development of bladder cancer, the prognosis of people with bladder cancer after undergoing a cystectomy is not affected by cigarette smoking, according to ...

Rising eye injury rates seen with robotic prostate surgery

October 16, 2012

(HealthDay)—The number of eye injuries associated with robotic-assisted radical prostatectomy—complete removal of the prostate—increased nearly tenfold in the United States between 2000 and 2009, although the risk was ...

Recommended for you

Strange circular DNA may offer new way to detect cancers

July 30, 2015

Strange rings of DNA that exist outside chromosomes are distinct to the cell types that mistakenly produced them, researchers have discovered. The finding raises the tantalizing possibility that the rings could be used as ...

New treatment options for a fatal leukemia

July 27, 2015

In industrialized countries like in Europe, acute lymphoblastic leukemia is the most common form of cancer in children. An international research consortium lead by pediatric oncologists from the Universities of Zurich and ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.