Radical cystectomy for bladder cancer: morbidity of laparoscopic versus open surgery
| Autor: | Xavier Gamé, Nicolas Doumerc, Julien Guillotreau, Pascal Rischmann, Bernard Malavaud, Marc Mouzin, Federico Sallusto, Richard Mallet |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Laparoscopic surgery
Male medicine.medical_specialty Urology medicine.medical_treatment Blood Loss Surgical Urinary Diversion Cystectomy Risk Assessment Cohort Studies Postoperative Complications medicine Humans Neoplasm Invasiveness Prospective Studies Prospective cohort study Laparoscopy Aged Neoplasm Staging Probability Carcinoma Transitional Cell Laparotomy Pain Postoperative Bladder cancer Chi-Square Distribution medicine.diagnostic_test business.industry Incidence (epidemiology) General surgery Biopsy Needle Cystoscopy Middle Aged medicine.disease Immunohistochemistry Surgery Treatment Outcome Urinary Bladder Neoplasms Female business Chi-squared distribution Cohort study Follow-Up Studies |
| Zdroj: | The Journal of urology. 181(2) |
| ISSN: | 1527-3792 |
| Popis: | We compared the morbidity and mortality of laparoscopic vs open surgery in radical cystectomy for bladder cancer.This prospective, nonrandomized study was conducted between January 2003 and July 2007 in 68 patients (7 women and 61 men) who underwent radical cystectomy for bladder cancer. A total of 38 cystectomies were performed laparoscopically and 30 by open surgery. Mean patient age was 68.0 +/- 9.0 years. Median preoperative American Society of Anesthesiologists score was 2 (range 1 to 3) in both groups.Intraoperative blood loss and transfusion rate were significantly lower in the laparoscopic surgery group. Postoperatively the incidence of minor complications and mortality were also significantly lower. Postoperative opioid consumption was significantly less in the laparoscopic surgery group in amount and duration. Resumption of oral fluid and solid intake as well as return to normal bowel function were significantly more rapid in the laparoscopic surgery group, and mean hospital stay was significantly shorter. Mean patient followup was 30.5 +/- 17.2 months.Laparoscopic radical cystectomy for bladder cancer has a lower morbidity rate than cystectomy by open surgery. It allows more rapid resumption of oral fluid and solid intake as well as return to normal bowel function and shorter hospital stay. |
| Databáze: | OpenAIRE |
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