Abstract
Purpose : To evaluate the perioperative outcomes and short-term oncologic outcomes of laparoscopic radical cystectomy (LRC) patients.
Methods : We retrospectively evaluated the cases of 38 consecutive patients who underwent LRC from February 2008 to January 2015 and retrospectively compared them with the cases of 45 consecutive patients who underwent open radical cystectomy (ORC) in our hospital.
Results : The median follow-up was 24.9 months for the LRC patients, which is significantly shorter than the median for the ORC patients (77.4 months；p<0.05). The estimated blood loss (median 500 vs. 2000 mL) and the blood transfusion volume (median 280 vs. 1040 mL) were significantly less in the LRC patients compared to the ORC patients. The time to recovery and the length of hospital stay (median 30.5 vs. 45 days) were significantly shorter in the LRC patients compared to the ORC patients. The postoperative pathology in LRC patients was significantly worse than that in ORC patients. No significant between-group differences were noted in the positive surgical margin rate, lymph node yield, or complication rate. A severe complication was reported in one LRC patient and in six ORC cases. The 2-year overall survival and recurrence-free survival rates were 89% and 75% in the LRC patients, respectively. There was no significant difference in the 2-year survival rates between the LRC and ORC patients.
Conclusion : Our analysis demonstrated that although there was no significant difference in oncologic outcomes between the LRC and ORC patients, the perioperative outcomes and the recovery time of the LRC patients were superior to those of the ORC patients.
