Pure open versus robotic radical cystectomy with intracorporeal urinary diversion: a propensity matched analysis

• Published in: World journal of urology 2024-12, Vol.43 (1), p.13
• Main Authors: Gabriel, Pierre-Etienne, Ganesan, Vishnuvardhan, Krishnan, Jayram, Autorino, Riccardo, Stephenson, Andrew J., Stein, Robert J., Fergany, Amr, Campbell, Steven C., Kaouk, Jihad, Haber, Georges-Pascal, Ouzaid, Idir
• Format: Article
• Language: English
• Subjects: Aged; Cystectomy - methods; Female; Humans; Lymph Node Excision - methods; Male; Medicine; Medicine & Public Health; Middle Aged; Nephrology; Oncology; Operative Time; Postoperative Complications - epidemiology; Propensity Score; Retrospective Studies; Robotic surgery; Robotic Surgical Procedures; Robotics; Treatment Outcome; Urinary Bladder Neoplasms - surgery; Urinary Diversion - methods; Urological surgery; Urology; Urothelial carcinoma
• ISSN: 0724-4983; 1433-8726; 1433-8726
• DOI: 10.1007/s00345-024-05371-w

Objective To compare surgical parameters and short-term outcomes between open radical cystectomy (ORC) and robotic radical cystectomy with total intracorporeal urinary diversion (icRARC). Methods Among the study period, 133 patients who underwent ORC and pelvic node dissection for bladder cancer (group 1) were matched and compared to 61 patients who underwent icRARC during the same period (group 2). The groups were matched 1:1 according to their propensity scores adjusted on their baseline demographics and disease characteristics. The main surgical parameters compared were: operative time, estimated blood loss (EBL), and postoperative outcomes including time to oral intake, ninety-day complications, readmission rate, and secondary procedures. Results Overall, 122 patients (61 in each group) were matched and finally analyzed. Although operative times (307 ± 97 min vs. 444 ± 113 min; p