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Robot-assisted radical cystectomy for bladder cancer: single-center experience

Frigid Zone Medicine 2022年第1期2卷 45-52页

作者： Valentin Pavlov Marat Urmantsev Ruslan Safiullin Anton Denejko rita gilmanova Ruslan Abdrakhimov Bashkir State Medical University Ufa 450074Russia

Objective:Radical cystectomy remains the most effective treatment for patients with localized,invasive bladder cancer and recurrent noninvasive *** some surgeons have begun to describe outcomes associated with less invasive surgical approaches to this disease,such as laparoscopic or robotic assisted *** report our maturing experience with 100 consecutive cases of robotic assisted laparoscopic radical cystectomy regarding perioperative results,pathological outcomes,and surgical ***:A total of 100 consecutive patients(73 male and 27 female)underwent robotic radical cystectomy with intracorporeal urinary diversion at our institution from February 2018 to February 2021 for clinically localized bladder *** measures evaluated included operative variables,hospital recovery,pathological outcomes,and complication ***:The mean age of this cohort was 60.4 years(range 38 to 82).Ninety-five patients underwent ileal conduit diversion,5 received a neobladder).The mean operating room time for all patients was 184 min(min time was 160 min)and mean surgical blood loss was 286 *** surgical pathology,2%of the cases were pT1,35%were pT2,51+12%were pT3/T4 disease and 17%were node *** mean number of lymph nodes removed was 16(range 10 to 40).In no case was there a positive surgical *** mean days to flatus were 2.6,bowel movement 2.8 and discharge home *** were 21 postoperative complications in 20 patients with 4%having a major complication(Clavien grade 3 or higher)and 15%being readmitted within 30 days after *** a mean follow-up of 12 months 3 patients had disease recurrence and died 4 of ***:We report a relatively large cohort and maturing experience with robotic radical cystectomy for the treatment of bladder cancer,providing acceptable surgical and pathological *** results support continued efforts to refine the surgical management of muscle-invasive bladder cancer.

关键词： bladder cystectomy admitted

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