ArticleInternational journal of urology : official journal of the Japanese Urological Association2021
Laparoscopic versus open radical cystectomy in 607 patients with bladder cancer: Comparative survival analysis.
Article in International journal of urology : official journal of the Japanese Urological Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Impacts of enhanced recovery after surgery nursing interventions on wound infection and complications following bladder cancer surgery: A meta-analysis.International wound journal · 2024Pooled it
- Clinical efficacy of laparoscopic radical cystectomy with intracorporeal urinary diversion and an analysis of factors influencing complications.Frontiers in oncology · 2025Article
- The clinical study of urinary flow parameters after drag-and-bond anastomosis for ileal orthotopic neobladder reconstruction.International urology and nephrology · 2024Article
- Robotic-assisted radical cystectomy with cutaneous ureterostomies: a contemporary multicenter analysis.World journal of urology · 2024Article
- Inpatient Outcomes of Patients Undergoing Robot-Assisted versus Laparoscopic Radical Cystectomy for Bladder Cancer: A National Inpatient Sample Database Study.Journal of clinical medicine · 2024Article
- Correlation analysis of preoperative renal insufficiency with major complications in patients who received a radical cystectomy and pelvic lymph node dissection: results of a retrospective observational analysis from a single center.Frontiers in oncology · 2024Article
- Low Intra-Abdominal Pressure with Complete Neuromuscular Blockage Reduces Post-Operative Complications in Major Laparoscopic Urologic Surgery: A before-after Study.Journal of clinical medicine · 2022Article
- Extraperitoneal laparoscopic radical cystectomy with intracorporeal neobladder: a comparison with transperitoneal approach.World journal of surgical oncology · 2022Article
- Optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomy.Frontiers in surgery · 2022Review
- Systematic review and meta-analysis on laparoscopic cystectomy in bladder cancer.Translational andrology and urology · 2022Article
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7 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo compare perioperative and oncologic survival outcomes between laparoscopic radical cystectomy and open radical cystectomy.
methodsA total of 607 patients underwent open radical cystectomy (n = 412) or laparoscopic radical cystectomy (n = 195) at a single academic institution from January 2006 to April 2017. Their medical records were retrospectively analyzed. One-to-one propensity score matching was carried out to reduce selection bias. Estimated blood loss and complications were compared. Overall survival, cancer-specific survival and progression-free survival estimates for all patients and patients with locally advanced bladder cancer were analyzed using the Kaplan-Meier method.
resultsEither before or after matching, the laparoscopic radical cystectomy group had less estimated blood loss (P < 0.001 and P < 0.001) and fewer complications (P < 0.001 and P = 0.008). There was no difference in the overall survival (P = 0.216 and P = 0.961) and progression-free survival (P = 0.826 and P = 0.462) for all the patients having either laparoscopic radical cystectomy or open radical cystectomy. However, the 5-year progression-free survival of open radical cystectomy was higher than that of laparoscopic radical cystectomy (P = 0.019 and P = 0.021) for patients with locally advanced bladder cancer.
conclusionsLaparoscopic radical cystectomy is superior to open radical cystectomy in terms of perioperative outcomes, and similar to open radical cystectomy in terms of oncologic outcomes for patients with early stage bladder cancer. However, for patients with locally advanced bladder cancer, laparoscopic radical cystectomy seems to be associated with shorter progression-free survival than open radical cystectomy.
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