IJERPH, Vol. 19, Pages 15995: Comparison of Laparoscopic and Open Radical Cystectomy for Muscle-Invasive Bladder Cancer

IJERPH, Vol. 19, Pages 15995: Comparison of Laparoscopic and Open Radical Cystectomy for Muscle-Invasive Bladder Cancer International Journal of Environmental Research and Public Health doi: 10.3390/ijerph192315995 Authors: Janusz Lisiński Jakub Kienitz Piotr Tousty Krystian Kaczmarek Artur Lemiński Marcin Słojewski The goal of the study was to compare laparoscopic and open radical cystectomy in treatment of muscle-invasive bladder cancer in the Department of Urology and Oncological Urology PUM in Szczecin. A total of 78 patients in the study group underwent laparoscopic cystectomy between 2016–2018, and 81 patients from the control group had open cystectomy between 2014–2016. Both groups were comparable in terms of age, stage, and concomitant diseases. The 3 year overall survival was comparable in both groups (37.7% for laparoscopy and 44.4% for open, p = 0.64). There was no difference in positive surgical margin rate. Lymph node yield during cystectomy was higher in open cystectomy (14 vs. 11.5, p = 0.001). Post-operative blood loss and transfusion rates were lower in laparoscopic cystectomy. Decrease in hemoglobin level was lower in laparoscopy (0.9 mmol/L, p < 0.001). Intraoperative transfusion rate was 11.8% in laparoscopy vs. 34.8% in open cystectomy (p = 0.002). Operation time, duration of hospitalisation, and time to full oral alimentation were comparable in both groups. Patients with BMI > 30 kg/m...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research