Comparison analysis of lymphadenectomy outcomes between robot-assisted laparoscopic radical cystectomy and laparoscopic radical cystectomy
Li Fan
Liu Zheng
Yang Jun
Li Heng
Hu Jia
Song Xiaodong
Hu Zhiquan
Abstract：Objective:To evaluate the potential advantage of robotic-assisted radical cystectomy with bilateral pelvic lymph node dissection compared with conventional laparoscopic radical cystectomy.Methods:From January 2016 to October 2019,62 patients were performed by robotic-assisted radical cystectomy(RARC),and 72 patients were performed by laparoscopic radical cystectomy(LRC)in our hospital.A comparison was made between the two groups in terms of tumor clinical staging,pathological grading,operative time,intraoperative blood loss,postopera-tive stay,number of dissected lymph nodes,lymph node positivity rate,and perioperative complications..Results:Compared with LRC,RARC had less intraoperative blood loss[(210.0±170.0)ml vs.(515.7±401.5)ml,P＜0.001)],shorter operative time[(344.8±121.2)min vs.(466.2±119.5)min,P＜0.001]andmore lymph nodes[(18.2±8.7)vs.(12.3±6.2),P＜0.001].No significant difference had been found in post-operative stays and peri-operative complications between the two groups.Conclusion:Compare to LRC,patients can benefit from RARC for less intraoperative blood loss,more lymph node dissection and shorter operative time.
Keywords：robotic surgical procedurescystectomylymph node
Publication Date：2023-12-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 416-420 )