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논문 기본 정보

자료유형
학술저널
저자정보
Satoru Muto (Juntendo University Graduate School of Medicine) Kousuke Kitamura (Juntendo University Graduate School of Medicine) Takeshi Ieda (Juntendo University Graduate School of Medicine) Fumitaka Shimizu (Juntendo Nerima Hospital) Masayoshi Nagata (Juntendo University Graduate School of Medicine) Shuji Isotani (Juntendo University Graduate School of MedicineJuntendo University Graduate School of M) Hisamitsu Ide (Teikyo University School of Medicine) Raizo Yamaguchi (Teikyo University School of Medicine) Shigeo Horie (Juntendo University Graduate School of Medicine)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.58 No.3
발행연도
2017.1
수록면
171 - 178 (8page)

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Purpose: Robot-assisted radical cystectomy (RARC) was originally intended to replace open radical cystectomy (ORC) as a minimally invasive surgery for patients with invasive bladder cancer. The purpose of this study was to evaluate the advantages of robotic surgery, comparing perioperative and oncologic outcomes between RARC and ORC. Materials and Methods: Between June 2012 and August 2016, 49 bladder cancer patients were given a radical cystectomy, 21 robotically and 28 by open procedure. We compared the clinical variables between the RARC and ORC groups. Results: In the RARC group, the median estimated blood loss (EBL) during cystectomy, total EBL, operative time during cystectomy, and total operative time were 0 mL, 457.5 mL, 199 minutes, and 561 minutes, respectively. EBL during cystectomy (p<0.001), total EBL (p<0.001), and operative time during cystectomy (p=0.003) in the RARC group were significantly lower compared with the ORC group. Time to resumption of a regular diet (p<0.001) and length of stay (p=0.017) were also significantly shorter compared with the ORC group. However, total operative time in the RARC group (median, 561 minutes) was significantly longer compared with the ORC group (median, 492.5 minutes; p=0.015). Conclusions: This Japanese study presented evidence that RARC yields benefits in terms of BL and time to regular diet, while consuming greater total operative time. RARC may be a minimally invasive surgical alternative to ORC with less EBL and shorter length of stay.

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참고문헌 (28)

참고문헌 신청
Jensen JB / 2012 / Extended versus limited lymph node dissection in radical cystectomy: impact on recurrence pattern and survival / Int J Urol 19:39~47 google schola Roghmann F / 2014 / Standardized assessment of complications in a contemporary series of European patients undergoing radical cystectomy / Int J Urol 21:143~149 google schola Challacombe BJ / 2011 / The role of laparoscopic and robotic cystectomy in the management of muscle-invasive bladder cancer with special emphasis on cancer control and complications / Eur Urol 60:767~775 google schola Hayn MH / 2010 / The learning curve of robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium / Eur Urol 58:197~202 google schola Atmaca AF / 2015 / Open versus robotic radical cystectomy with intracorporeal Studer diversion / JSLS 19:e2014 google schola

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