2018 Volume 31 Issue 2 Pages 266-270
We aimed to investigate hospitalization-related expenses between robot-assisted radical cystectomy (RARC) and open radical cystectomy (ORC). We analyzed 61 patients who underwent radical cystectomy between January 2014 and January 2017 (RARC : 6, ORC : 55). We compared hospitalization-related expenses, period of hospitalization, surgical time, estimated blood loss (EBL), time to accomplishment of 100-m walking independence, oral feeding resumption, and pelvic drain removal. Surgical time was longer in patients who underwent RARC than in those who underwent ORC. However, lower EBL and hospitalization-related expenses were observed in patients who underwent RARC. Using the Clavien-Dindo classification grade 3 and higher, there were 10 complications associated with ORC and none with RARC. RARC is better than ORC regarding hospital expenditures, due to lower EBL and complication rates. RARC may become an important surgical option in terms of medical expenses, when considering the recent rise in national medical expenses.
