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Robot assisted laparoscopic pelvic lymphadenectomy at the time of radical cystectomy rivals that of open surgery: single institution report

, : Robot assisted laparoscopic pelvic lymphadenectomy at the time of radical cystectomy rivals that of open surgery: single institution report. Urology 76(6): 1400-1404

The purpose of this study was to analyze the pelvic lymph node dissection (PLND) and margin status using a standard technique in the first 35 patients undergoing robot-assisted radical cystectomy (RARC) at our institution while establishing a robotics program, and then to compare the results to the past 35 open radical cystectomy (ORC) performed at our institution. After obtaining institutional review board approval, we reviewed the clinical and pathologic data from 70 consecutive patients with clinically localized bladder cancer who underwent radical cystectomy with PLND from April 2007 to June 2009. Thirty-five operations were performed open and 35 used the da Vinci robotic system. The PLND was performed in all patients using the same template. There was no significant difference between the ORC and RARC group in regards to patient characteristics, tumor stage (43% ORC and 40% RARC having pT3/pT4 disease), and node status (29% N+ in each group). The median total lymph node yield was similar, with 15 (interquartile range [IQR] 11, 22) in the ORC group and 16 (IQR 11, 24) in the RARC group (P = 0.5). One patient who underwent RARC had a positive margin compared with 3 patients in the ORC group. The initial 35 RARC with PLND performed at our institution compared with the last 35 ORC resulted in equivalent lymph node yield and similar rates of positive margins. RARC with PLND is feasible, safe, and effective when performed at a high-volume center by an experienced team.


PMID: 20350755

DOI: 10.1016/j.urology.2010.01.019

Other references

Kawaguchi, Y.; Jinnai, I.; Yakata, Y.; Nagai, K.; Yagasaki, F.; Matsuo, T.; Kuriyama, K.; Tomonaga, M., 1999: A specific ABL tyrosine kinase inhibitor CGP57148 inhibits the growth of Ph acute lymphoblastic leukemia cells. Blood 94(10 SUPPL 1 PART 1): 80a, Nov 15

Babret, J., 1950: Electromyography in human physiopathology and in clinical practice. Sistema Nervoso 2(5): 275-299

Voseckova, A.; Truhlarova, Z.; Levicka, J.; Klimova, B.; Kuca, K., 2017: Application of salutogenic concept in social work with diabetic patients. In the context of salutogenesis, coping with diabetes is perceived as a dynamic process of changes in all aspects of biopsychosocial model of health/disease. Understanding of salutoprotective factors allows for estimation of client's extent o...

Sachelariu, N.; Soranzo, M.L.; Bosio, G.; Sattinger, M.; Bramato, C.; Salassa, B., 1979: Pharmacokinetic and clinical research of a new phenyl ester of carbecinillin: carfecillin. Following a review of the latest methods of treating infections of the urinary ways, the pharmacokinetic and clinical results of a new antibiotic, Carfecillin, are reported. The examination was carried out on a total of 10 volunteers. The substanc...

Sakhnenko, N.; Nerukh, A., 2012: Rigorous analysis of whispering gallery mode frequency conversion because of time variation of refractive index in a spherical resonator. We investigate theoretically the switching effects for the whispering gallery modes in a spherical dielectric resonator when its material is subject to abrupt time change in permittivity. A rigorous analytical approach is used to study the transfo...

Manzino, B.E.; Salvioli, J.E.; Laguens, R.P., 1969: Liver changes in porphyria cutanea tardo. Revista Espanola de Las Enfermedades del Aparato Digestivo 28(1): 7-14

Whitson, T.; Reynolds, D., 1989: Downy brome (Bromus tectorum) control with various herbicides on rangeland. Research progress report Western Society of Weed Science: 0

Munro, I.C.; Renwick, A.G.; Danielewska-Nikiel, B., 2008: The Threshold of Toxicological Concern (TTC) in risk assessment. The Threshold of Toxicological Concern (TTC) is a level of human intake or exposure that is considered to be of negligible risk, despite the absence of chemical-specific toxicity data. The TTC approach is a form of risk characterisation in which u...

D.J.Samborski, B.Peturson, 1960: Effect of leaf rust on the yield of resistant wheats. Heavy infection of leaf rust initiated at an early stage of plant development materially reduced the yield, kernel weight and bushel weight of one susceptible and three resistant varieties of wheat. The yield loss in the susceptible variety was 58...

Madias, J.E., 2015: Sustained blood pressure lowering effect of twice daily remote ischemic conditioning sessions in a normotensive/prehypertensive subject. International Journal of Cardiology 182: 392-394