Experience of robot-assisted radical cystectomy in Okayama University Hospital

Research output: Contribution to journalArticle

Abstract

Robot-assisted radical cystectomy became listed as being covered by insurance in 2018 and accordingly, it is expected to become a popular surgical method in Japan in the future. In this study, we examined the findings of 102 patients who underwent total cystectomy (ORC, 35 cases), laparoscopic radical cystectomy (LRC, 52 cases), and robot-assisted radical cystectomy (RARC, 15 cases). The examined items were operative time, bleeding volume, postoperative complications, length of hospital stay, postoperative walking start date, postoperative pain and postoperative fever. Operative time was the shortest for RARC and bleeding volume was the lowest for RARC. Postoperative complications comprised approximately 33% (all grades) in any group. LRC and RARC were superior to ORC regarding both the period until walking start day and the period of postoperative persistent fever. Compared to ORC, patients undergoing RARC can expect an earlier recovery after surgery. In addition, patients undergoing RARC can expect stable surgical results with little difference in the postoperative course of each case.

Original languageEnglish
Pages (from-to)122-127
Number of pages6
JournalNishinihon Journal of Urology
Volume81
Issue number2
Publication statusPublished - Apr 1 2019

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Cystectomy
Operative Time
Walking
Length of Stay
Fever
Hemorrhage
Postoperative Pain
Insurance
Postoperative Period
Japan

Keywords

  • Bladder cancer
  • Laparoscopic
  • Robot
  • Total cystectomy

ASJC Scopus subject areas

  • Urology

Cite this

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title = "Experience of robot-assisted radical cystectomy in Okayama University Hospital",
abstract = "Robot-assisted radical cystectomy became listed as being covered by insurance in 2018 and accordingly, it is expected to become a popular surgical method in Japan in the future. In this study, we examined the findings of 102 patients who underwent total cystectomy (ORC, 35 cases), laparoscopic radical cystectomy (LRC, 52 cases), and robot-assisted radical cystectomy (RARC, 15 cases). The examined items were operative time, bleeding volume, postoperative complications, length of hospital stay, postoperative walking start date, postoperative pain and postoperative fever. Operative time was the shortest for RARC and bleeding volume was the lowest for RARC. Postoperative complications comprised approximately 33{\%} (all grades) in any group. LRC and RARC were superior to ORC regarding both the period until walking start day and the period of postoperative persistent fever. Compared to ORC, patients undergoing RARC can expect an earlier recovery after surgery. In addition, patients undergoing RARC can expect stable surgical results with little difference in the postoperative course of each case.",
keywords = "Bladder cancer, Laparoscopic, Robot, Total cystectomy",
author = "Yasuyuki Kobayashi and Masao Mitsui and Shingo Nishimura and Atsushi Takamoto and Tomoko Sako and Koichiro Wada and Kohei Edamura and Motoo Araki and Toyohiko Watanabe and Yasutomo Nasu",
year = "2019",
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pages = "122--127",
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T1 - Experience of robot-assisted radical cystectomy in Okayama University Hospital

AU - Kobayashi, Yasuyuki

AU - Mitsui, Masao

AU - Nishimura, Shingo

AU - Takamoto, Atsushi

AU - Sako, Tomoko

AU - Wada, Koichiro

AU - Edamura, Kohei

AU - Araki, Motoo

AU - Watanabe, Toyohiko

AU - Nasu, Yasutomo

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Robot-assisted radical cystectomy became listed as being covered by insurance in 2018 and accordingly, it is expected to become a popular surgical method in Japan in the future. In this study, we examined the findings of 102 patients who underwent total cystectomy (ORC, 35 cases), laparoscopic radical cystectomy (LRC, 52 cases), and robot-assisted radical cystectomy (RARC, 15 cases). The examined items were operative time, bleeding volume, postoperative complications, length of hospital stay, postoperative walking start date, postoperative pain and postoperative fever. Operative time was the shortest for RARC and bleeding volume was the lowest for RARC. Postoperative complications comprised approximately 33% (all grades) in any group. LRC and RARC were superior to ORC regarding both the period until walking start day and the period of postoperative persistent fever. Compared to ORC, patients undergoing RARC can expect an earlier recovery after surgery. In addition, patients undergoing RARC can expect stable surgical results with little difference in the postoperative course of each case.

AB - Robot-assisted radical cystectomy became listed as being covered by insurance in 2018 and accordingly, it is expected to become a popular surgical method in Japan in the future. In this study, we examined the findings of 102 patients who underwent total cystectomy (ORC, 35 cases), laparoscopic radical cystectomy (LRC, 52 cases), and robot-assisted radical cystectomy (RARC, 15 cases). The examined items were operative time, bleeding volume, postoperative complications, length of hospital stay, postoperative walking start date, postoperative pain and postoperative fever. Operative time was the shortest for RARC and bleeding volume was the lowest for RARC. Postoperative complications comprised approximately 33% (all grades) in any group. LRC and RARC were superior to ORC regarding both the period until walking start day and the period of postoperative persistent fever. Compared to ORC, patients undergoing RARC can expect an earlier recovery after surgery. In addition, patients undergoing RARC can expect stable surgical results with little difference in the postoperative course of each case.

KW - Bladder cancer

KW - Laparoscopic

KW - Robot

KW - Total cystectomy

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