Evidence map›Paper›PMID 40843401›Full record

ArticleUrology annals

A comparative study of perioperative outcomes in open radical cystectomy, laparoscopic radical cystectomy, and robotic-assisted radical cystectomy.

Vishal Narkhede, Siddhant Bolar, Deepanshu Aggarwal, Rudra Prasad Ghorai, Sidhartha Kalra, Lalgudi Narayanan Dorairajan, Sreerag Kodakkattil Sreenivasan

Abstract read
In one paragraph

Article in Urology annals. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Vishal NarkhedeDepartment of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Siddhant BolarDepartment of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Deepanshu AggarwalDepartment of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Rudra Prasad GhoraiDepartment of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Sidhartha KalraDepartment of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Lalgudi Narayanan DorairajanDepartment of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Sreerag Kodakkattil SreenivasanDepartment of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Radical cystectomy (RC) is the standard treatment for muscle-invasive and high-risk nonmuscle-invasive bladder cancer. The impact of minimally invasive surgeries (MIS) such as laparoscopic and robot-assisted RC (RARC) on outcomes and morbidity remains debated, especially in India. This study compares perioperative outcomes and complications of open RC (ORC), laparoscopic RC (LRC), and RARC. Materials and Methods: This prospective cohort study included 186 patients who underwent ORC, LRC, or RARC at our institution between October 2013 and April 2024. Preoperative parameters such as age, body mass index (BMI), comorbidities, and chemotherapy status were recorded. Postoperative parameters including operative time, blood loss, return of bowel function, complications, and survival rates were analyzed. Pathological parameters such as stages, lymph node yield, and positive surgical margins were assessed. Results: The study included 120 ORC, 56 RARC, and 10 LRC patients. The median age was highest in the laparoscopic group (67.4 ± 6.33 years) with a higher BMI (26.22 ± 5.24). Operative time was longest for RARC (414 ± 115.7 min) versus 357.96 ± 60.08 for ORC ( Conclusions: Our findings suggest that while RARC provides advantages in blood loss, complication rates, and mean lymph node yield, its longer operative time necessitates further optimization. The study highlights the importance of considering patient-specific factors and regional contexts in surgical approach decisions, with RARC showing promising results.

Indexed as

Laparoscopic radical cystectomyminimally invasive surgerymuscle-invasive bladder cancernonmuscle-invasive bladder canceropen radical cystectomyperioperative outcomespostoperative complicationsradical cystectomyrobot-assisted radical cystectomy

Identifiers

PMID40843401
PMCPMC12366846

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.