| Radical cystectomy for bladder cancer: morbidity of laparoscopic versus open surgery. | |
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MedLine Citation:
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PMID: 19084856 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: We compared the morbidity and mortality of laparoscopic vs open surgery in radical cystectomy for bladder cancer. MATERIALS AND METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. |
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Authors:
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Julien Guillotreau; Xavier Gamé; Marc Mouzin; Nicolas Doumerc; Richard Mallet; Federico Sallusto; Bernard Malavaud; Pascal Rischmann |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2008-12-13 |
Journal Detail:
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Title: The Journal of urology Volume: 181 ISSN: 1527-3792 ISO Abbreviation: J. Urol. Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-01-12 Completed Date: 2009-02-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: United States |
Other Details:
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Languages: eng Pagination: 554-9; discussion 559 Citation Subset: AIM; IM |
Affiliation:
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Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, Toulouse, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Biopsy, Needle Blood Loss, Surgical / physiopathology Carcinoma, Transitional Cell / mortality, pathology, surgery* Chi-Square Distribution Cohort Studies Cystectomy / adverse effects, methods* Cystoscopy / adverse effects, methods Female Follow-Up Studies Humans Immunohistochemistry Laparoscopy / adverse effects, methods* Laparotomy / adverse effects, methods Male Middle Aged Neoplasm Invasiveness / pathology Neoplasm Staging Pain, Postoperative / physiopathology Postoperative Complications / physiopathology Probability Prospective Studies Risk Assessment Treatment Outcome Urinary Bladder Neoplasms / mortality, pathology, surgery* Urinary Diversion / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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