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Comparison of anesthetic management and outcomes of robot-assisted versus open radical cystectomy

Robot-assisted cystectomy surgery may be advantageous for patients. The purpose of this study was to compare anesthetic management and outcomes in patients undergoing robot-assisted versus open radical cystectomy. In a retrospective review of 256 cystectomy procedures, procedure duration, blood loss...

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Bibliographic Details
Published in:Journal of robotic surgery 2013-09, Vol.7 (3), p.273-279
Main Authors: Trentman, Terrence L., Fassett, Sharon L., McGirr, Dustin, Anderson, Brad, Chang, Yu-Hui H., Nateras, Rafael Nunez, Castle, Erik P., Rosenfeld, David M.
Format: Article
Language:English
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Summary:Robot-assisted cystectomy surgery may be advantageous for patients. The purpose of this study was to compare anesthetic management and outcomes in patients undergoing robot-assisted versus open radical cystectomy. In a retrospective review of 256 cystectomy procedures, procedure duration, blood loss, respiratory parameters, recovery room opiate consumption, pain scores and antiemetic use in the recovery room, and hospital length of stay were compared. After exclusions, 96 robot-assisted and 102 open procedures were analyzed. Anesthesia and surgery duration were significantly longer in the robot-assisted group, while the length of hospital stay was significantly shorter in the robot-assisted group: 7.1 ± 5.8 versus 9.8 ± 5.03 days, p  = 0.0005. Estimated blood loss was 601.8 ± 491.4 ml in the open group versus 257.7 ± 164.3 ml in the robot-assisted group, p  
ISSN:1863-2483
1863-2491
DOI:10.1007/s11701-012-0379-7