Document Detail


Pelvic lymph node dissection and outcome of robot-assisted radical cystectomy for bladder carcinoma.
MedLine Citation:
PMID:  25484987     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: Pelvic lymph node dissection (PLND) at the time of radical cystectomy for urothelial carcinoma of the bladder is critical for accurate staging and may improve oncologic outcomes. Minimally invasive approaches have been criticized for limiting the extent of the PLND. We reviewed our experience with PLND and its perioperative outcomes with robot-assisted laparoscopic radical cystectomy (RARC).
METHODS: Data were collected prospectively from 50 patients scheduled for RARC. Included in the analysis were patients who had RARC and a standard PLND. The entire extirpative portion of the procedure was performed using the da Vinci Robot (Intuitive Surgical, Sunnyvale, CA, USA).
RESULTS: A total of 41 patients were included in the study: 30 men and 11 women with a mean age of 69.7 years (range 49-85) and a mean body mass index of 26.9 (range 19.5-43.7). The median total operative time was 497.77 min (320-805). The mean estimated blood loss was 253.66 ml (range 50-700). The transfusion rate was 44% (18 out of 41) ranging from 0 to 4 units (median 0 units of blood). The mean total number of lymph nodes retrieved was 25.07 (range 4-68). Nodal metastases were seen in 14.63% (6/41). Rate of positive surgical margin was 4.87% (2/41). The median length of hospital stay was 8 days (5-37). The median duration of nasogastric tube, time to ambulation, first clear liquid intake, passage of colonic gas, time to bowel movement, and start of solid food intake were 1 (0-5), 2 (1-7), 3 (2-10), 4 (1-6), 5 (2-11) and 6 days (3-24), respectively.
CONCLUSION: An adequate PLND, comparable with that recommended for open surgery, can be performed safely with robot assistance. The perioperative outcomes were likewise comparable with that of the gold standard, open cystectomy.
Authors:
Aldrin J Gamboa; Jennifer L Young; Atreya Dash; Jose Benito Abraham; Geoffrey N Box; David K Ornstein
Related Documents :
1104507 - Continuous postoperative peritoneal lavage in diffuse peritonitis using balanced saline...
16302617 - Terminal myelocystocele.
24240627 - Energized vessel sealing systems versus conventional hemostasis techniques in thyroid s...
2277927 - Intussusception in children: plain abdominal radiograph and reduction by barium enema i...
22120307 - Complications of anterior clinoidectomy through lateral supraorbital approach: experien...
21319687 - Lower eyelid blepharoplasty: a procedure in evolution.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2009-2-4
Journal Detail:
Title:  Journal of robotic surgery     Volume:  3     ISSN:  1863-2483     ISO Abbreviation:  J Robot Surg     Publication Date:  2009  
Date Detail:
Created Date:  2014-12-8     Completed Date:  -     Revised Date:  2014-12-9    
Medline Journal Info:
Nlm Unique ID:  101300401     Medline TA:  J Robot Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  7-12     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Transient paralysis after robotic prostatectomy.
Next Document:  Enhancement of Flow-Induced AP-1 Gene Expression by Cyclosporin A Requires NFAT-Independent Signalin...