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Outcomes and complications of radical cystectomy with ileal conduit urinary diversion: a comparison between open, semi-robotic and totally robotic surgery

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SCHOOL OF MEDICINE
Upper Org Unit

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Asil, Erem
Atmaca, Ali Fuat
Gok, Bahri
Ozcan, Muhammet Fuat
Ardicoglu, Arslan
Yildizhan, Mehmet

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Background It was aimed to compare open versus robotic-assisted radical cystectomy (RARC) with intracorporeal ileal conduit (ICIC), versus RARC with extracorporeal ileal conduit (ECIC) formation for bladder cancer. Materials and Methods Open, RARC-ECIC and RARC-ICIC groups were compared in terms of patient demographics, operative and postoperative parameters, pathological parameters, complications and functional outcomes. Results Mean operative times were lower in the RARC-ECIC group (p = 0.004). Mean estimated blood loss was significantly lower (p < 0.01) in the robotic groups. The blood transfusion was lower in RARC-ICIC groups (p < 0.001). Rates of stage pT3-4 disease were the highest in the RARC-ICIC group (p = 0.004). LOS was significantly shorter in the RARC-ICIC group (p = 0.01). Numbers of Clavien 3-5 complications were lower in the robotic groups (p = 0.012). Conclusions RARC and ICIC is a complex procedure involving an increased operation time but with the advantages of lower estimated blood loss, transfusion rates, complications and hospital stays compared with open surgery.

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Wiley

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Surgery

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International Journal of Medical Robotics and Computer Assisted Surgery

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10.1002/rcs.2221

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