NDLI: Cystectomie totale avec remplacement vésical orthotopique : comparaison des résultats des patients opérés par voie ouverte et par voie cÅlioscopique robot-assistée.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ginot, R. Rouget, B. Bensadoun, H. Pasticier, G. Bernhard, J-C Capon, G. Ferrière, J-M Robert, G.
Description	Author Affiliation: Ginot R ( Service d'urologie et de transplantation rénale, CHU de Bordeaux, université de Bordeaux, 33076 Bordeaux, France. Electronic address: raphaelginot@hotmail.fr.); Rouget B ( Service d'urologie et de transplantation rénale, CHU de Bordeaux, université de Bordeaux, 33076 Bordeaux, France.); Bensadoun H ( Service d'urologie et de transplantation rénale, CHU de Bordeaux, université de Bordeaux, 33076 Bordeaux, France); Pasticier G ( Service d'urologie et de transplantation rénale, CHU de Bordeaux, université de Bordeaux, 33076 Bordeaux, France.); Bernhard JC ( Service d'urologie et de transplantation rénale, CHU de Bordeaux, université de Bordeaux, 33076 Bordeaux, France.); Capon G ( Service d'urologie et de transplantation rénale, CHU de Bordeaux, université de Bordeaux, 33076 Bordeaux, France.); Ferrière JM ( Service d'urologie et de transplantation rénale, CHU de Bordeaux, université de Bordeaux, 33076 Bordeaux, France.); Robert G ( Service d'urologie et de transplantation rénale, CHU de Bordeaux, université de Bordeaux, 33076 Bordeaux, France.)
Abstract	INTRODUCTION: Radical cystectomy remains the referent treatment of non-metastatic muscle-invasive bladder cancer (MIBC). The fast development of robotic surgery has led some teams to use it for the surgical treatment of the MIBC, in the hope of reducing postoperative morbidity. Urinary diversion by bladder substitution is a bypass option. The aim of our study was to compare the robot-assisted cystectomy with open cystectomy, with urinary diversion by bladder substitution. PATIENTS AND METHODS: Over a two-year period, all the patients who underwent a robot-assisted laparoscopic or open cystectomy with urinary diversion by bladder substitution have been included. The urinary diversion performed was extra-corporeal. RESULTS: The study concerned were 26 men, 15 of them underwent robot-assisted cystectomy, and 11 open cystectomy. There was no significant difference in the median operating time or duration of stay (300 vs 314min and 14 vs 18 days). However, there were less blood loss and more lymph nodes collected in the cystectomies robot-assisted group (median: 400 vs 800mL, P=0.016; 15 vs 10, P=0.01). Three grade III complications of the Clavien-Dindo classification have been described in the robot-assisted group, and none in the open group. No robot-assisted procedure required a conversion to laparotomy. Within 90 postoperative days, complications are basically low grades and results are consistent with the literature. CONCLUSION: In our series, robot-assisted cystectomies with extracorporeal bladder substitution is technically feasible, with best results on blood loss and the number of lymph nodes removed, without impact on the length of stay. LEVEL OF EVIDENCE: 4.
File Format	HTM / HTML
ISSN	11667087
Issue Number	8
Journal	Progr`es en Urologie
Volume Number	26
Language	French
Publisher	Elsevier
Publisher Date	2016-06-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Urology
Alternative Title	Radical cystectomy with orthotopic neobladder replacement: Comparison of robotic assisted and open surgical route
Content Type	Text
Resource Type	Article
Subject	Urology

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Cystectomie totale avec remplacement vésical orthotopique : comparaison des résultats des patients opérés par voie ouverte et par voie cÅlioscopique robot-assistée.

Cystectomie totale avec remplacement vésical orthotopique : comparaison des résultats des patients opérés par voie ouverte et par voie cÅlioscopique robot-assistée.