Outcomes and complications of radical cystectomy with ileal conduit urinary diversion: A comparison between open, semi-robotic and totally robotic surgery

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Asil E., Canda A. E., Atmaca A. F., GÖK B., Ozcan M. F., Ardicoglu A., ...More

International Journal of Medical Robotics and Computer Assisted Surgery, vol.17, no.3, 2021 (SCI-Expanded)

• Publication Type: Article / Article
• Volume: 17 Issue: 3
• Publication Date: 2021
• Doi Number: 10.1002/rcs.2221
• Journal Name: International Journal of Medical Robotics and Computer Assisted Surgery
• Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Aerospace Database, Communication Abstracts, EMBASE, MEDLINE, Metadex, Civil Engineering Abstracts
• Keywords: bladder cancer, ileal conduit, intracorporeal, radical cystectomy, robotic
• Ankara Yıldırım Beyazıt University Affiliated: Yes

Abstract

© 2021 John Wiley & Sons Ltd.Background: It was aimed to compare open versus robotic-assisted radical cystectomy (RARC) with intracorporeal ileal conduit (ICIC), versus RARC with extracorporeal ileal conduit (ECIC) formation for bladder cancer. Materials and Methods: Open, RARC-ECIC and RARC-ICIC groups were compared in terms of patient demographics, operative and postoperative parameters, pathological parameters, complications and functional outcomes. Results: Mean operative times were lower in the RARC-ECIC group (p = 0.004). Mean estimated blood loss was significantly lower (p < 0.01) in the robotic groups. The blood transfusion was lower in RARC-ICIC groups (p < 0.001). Rates of stage pT3–4 disease were the highest in the RARC-ICIC group (p = 0.004). LOS was significantly shorter in the RARC-ICIC group (p = 0.01). Numbers of Clavien 3–5 complications were lower in the robotic groups (p = 0.012). Conclusions: RARC and ICIC is a complex procedure involving an increased operation time but with the advantages of lower estimated blood loss, transfusion rates, complications and hospital stays compared with open surgery.