Robot‐Assisted Versus Open Radical Cystectomy: A Cohort Study on Perioperative Outcomes Accounting for Stage Selection Bias and Surgical Experience

xlomafota13 shared this article with you from Inoreader Robot‐Assisted Versus Open Radical Cystectomy: A Cohort Study on Perioperative Outcomes Accounting for Stage Selection Bias and Surgical Experience Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background Most comparisons of robot‐assisted (RARC) versus open radical cystectomy (ORC) for urothelial carcinoma do not factor the inherent stage selection bias or surgical experience. Methods We compared the perioperative outcomes of 229 RARC and 335 ORC at a single tertiary referral center with propensity score matching and multiple regression models, when controlling for tumor and patient characteristics, surgeon's experience and type of urinary diversion. Results RARC had less major complications (19.8% vs. 34.1%) and ICU admissions (6.6% vs. 19.8%), with lower blood loss (400 vs. 500ml) and transfusion rates. The operating time was longer (336 vs. 286min), but decreased with surgeon's experience. RARC had less PSMs (3% vs. 8.4%) and a higher lymph node count (14 vs. 11). Conclusions In this large single center series comparing RARC with ORC controlling for stage selection bias and surgical experience, RARC proved significantly better outcomes, especially with intracorporeal urinary diversion. This article is protected by copyright. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.