Robotic‐assisted radical cystectomy with intracorporeal urinary diversion versus open: early Australian experience

Chow, Ken; Zargar, Homayoun; Corcoran, Niall M.; Costello, Anthony J.; Peters, Justin; Dundee, Philip

doi:10.1111/ans.14361

Cited by 17 publications

(17 citation statements)

References 39 publications

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“…In our experience of robotic radical cystectomy and intracorporeal diversion at The Royal Melbourne Hospital in a smaller series, our outcomes were similar to the Brisbane report . Long operative times in the learning curve and anastomotic uretero‐ileo‐stricture remain problematic in the early phase.…”

supporting

confidence: 78%

Why a robot took my bladder

Costello

2019

ANZ Journal of Surgery

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supporting

confidence: 78%

Why a robot took my bladder

Costello

2019

ANZ Journal of Surgery

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“…Post‐operative complications are listed in Table . Post‐operative complications were characterized at 90 days using the Clavien–Dindo classification . Most patients experienced uncomplicated recoveries (44%) or low‐grade post‐operative complications (Clavien–Dindo I–II 32%).…”

Section: Resultsmentioning

confidence: 99%

“…Indeed, several studies have compared RARC to open RC (ORC) and reported improved or comparable surgical outcomes including blood loss, length of hospital stay (LOS) and post‐operative complications . To date, a single Australian series of 26 patients has been reported in the literature …”

Section: Introductionmentioning

confidence: 99%

Outcomes and learning curve for robotic‐assisted radical cystectomy: an Australian experience

Honore

Roberts

Morton

et al. 2019

ANZ Journal of Surgery

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Background This study aimed to describe perioperative, oncological and learning curve outcomes for robotic‐assisted radical cystectomy (RARC) across the first 100 cases performed by an Australian high‐volume, fellowship‐trained robotic surgeon. Methods A retrospective cohort study was performed on a consecutive group of 100 patients who underwent RARC between 2010 and 2016 in Brisbane, Australia. Perioperative, oncological and survival data were collected. Demographic, survival and learning curve analyses were performed in MedCalc. Results A total of 100 patients underwent RARC over the study period. Median operative time was 389 min, with a reduction in median times from 420 to 330 min when comparing the first 50 versus the second 50 patients (P < 0.001). Median estimated blood loss was 500 mL, while urinary diversion was performed extracorporeally in 20 patients, intracorporeally in 69 patients and using a hybrid technique in 11 patients. Median length of hospital stay was 11 days. Post‐operative complications occurred in 56% of patients (Clavien–Dindo classification I–II 32%, III–V 24%). Positive operative margins were 2% and median lymph node yield was 21 nodes. Overall recurrence‐free survival was 50.3 months. Conclusion Initial short‐term experience with RARC shows favourable outcomes with regard to operative, perioperative and pathological indicators compared to open radical cystectomy and other RARC series.

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“…Chow et al . have demonstrated that lymph node yields and surgical margin status are equivalent between the two cystectomy methods . There are unfortunately no long‐term oncological outcomes reported from RARC; however, based on early short‐term reports, it is unlikely that they will be inferior to ORC.…”

mentioning

confidence: 85%

“…In this month’s issue, Chow et al . have demonstrated how robotic assisted RC (RARC) can be safely introduced in a number of hospitals in Melbourne …”

mentioning

confidence: 99%