Robot-assisted radical cystectomy and pelvic lymph node dissection: A multi-institutional study from Korea

Sung Gu Kang, Seok Ho Kang, Young Goo Lee, Koon Ho Rha, Byong Chang Jeong, Young Hwi Ko, Hyun Moo Lee, Seong Il Seo, Tae Gyun Kwon, Seung Chol Park, Se Il Jung, Gyung Tak Sung, Hyeon Hoe Kim

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Purpose: To report short-term retrospective perioperative and pathologic outcomes of the first robot-assisted radical cystectomy (RARC) series in Korea. Patients and Methods: Between April 2007 and August 2009, 104 nonconsecutive patients, including 22 women, underwent RARC across seven institutions. We evaluated the outcomes in these cases, including operative variables, hospital recovery, pathologic outcomes, and complication rate. Results: The mean age of all patients was 63.6 years (range 39-82 years), and the mean body mass index was 23.6 kg/m2 (range 16.0-31.8 kg/m2). Among the 104 patients, 60 had an ileal conduit and 44 had an orthotopic neobladder. The mean total operative time was 554 minutes, and the mean blood loss was 526 mL. The time to flatus and bowel movement was about 3 days, and the time until hospital discharge was about 18 days. The mean number of lymph nodes removed were 18, and 10 patients had node metastatic disease on final pathologic evaluation. Postoperative complications occurred in 28 (26.9%) patients. Conclusions: Our initial experience with RARC appears to be favorable with acceptable operative, pathologic, and short-term clinical outcomes. The current series suggests that RARC is becoming more prevalent, not only in Western countries, but also in Asian countries, just as robot-assisted radical prostatectomy has also gained widespread acceptance. Data from long-term, large, prospective, multicenter, ideally randomized comparative studies with open radical cystectomy are needed to confirm the outcome of the novel operation reported here.

Original languageEnglish
Pages (from-to)1435-1440
Number of pages6
JournalJournal of Endourology
Volume24
Issue number9
DOIs
Publication statusPublished - 2010 Sep 1

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Cystectomy
Korea
Lymph Node Excision
Flatulence
Urinary Diversion
Operative Time
Prostatectomy
Body Mass Index
Lymph Nodes

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Kang, Sung Gu ; Kang, Seok Ho ; Lee, Young Goo ; Rha, Koon Ho ; Jeong, Byong Chang ; Ko, Young Hwi ; Lee, Hyun Moo ; Seo, Seong Il ; Kwon, Tae Gyun ; Park, Seung Chol ; Jung, Se Il ; Sung, Gyung Tak ; Kim, Hyeon Hoe. / Robot-assisted radical cystectomy and pelvic lymph node dissection : A multi-institutional study from Korea. In: Journal of Endourology. 2010 ; Vol. 24, No. 9. pp. 1435-1440.
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abstract = "Purpose: To report short-term retrospective perioperative and pathologic outcomes of the first robot-assisted radical cystectomy (RARC) series in Korea. Patients and Methods: Between April 2007 and August 2009, 104 nonconsecutive patients, including 22 women, underwent RARC across seven institutions. We evaluated the outcomes in these cases, including operative variables, hospital recovery, pathologic outcomes, and complication rate. Results: The mean age of all patients was 63.6 years (range 39-82 years), and the mean body mass index was 23.6 kg/m2 (range 16.0-31.8 kg/m2). Among the 104 patients, 60 had an ileal conduit and 44 had an orthotopic neobladder. The mean total operative time was 554 minutes, and the mean blood loss was 526 mL. The time to flatus and bowel movement was about 3 days, and the time until hospital discharge was about 18 days. The mean number of lymph nodes removed were 18, and 10 patients had node metastatic disease on final pathologic evaluation. Postoperative complications occurred in 28 (26.9{\%}) patients. Conclusions: Our initial experience with RARC appears to be favorable with acceptable operative, pathologic, and short-term clinical outcomes. The current series suggests that RARC is becoming more prevalent, not only in Western countries, but also in Asian countries, just as robot-assisted radical prostatectomy has also gained widespread acceptance. Data from long-term, large, prospective, multicenter, ideally randomized comparative studies with open radical cystectomy are needed to confirm the outcome of the novel operation reported here.",
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Kang, SG, Kang, SH, Lee, YG, Rha, KH, Jeong, BC, Ko, YH, Lee, HM, Seo, SI, Kwon, TG, Park, SC, Jung, SI, Sung, GT & Kim, HH 2010, 'Robot-assisted radical cystectomy and pelvic lymph node dissection: A multi-institutional study from Korea', Journal of Endourology, vol. 24, no. 9, pp. 1435-1440. https://doi.org/10.1089/end.2009.0638

Robot-assisted radical cystectomy and pelvic lymph node dissection : A multi-institutional study from Korea. / Kang, Sung Gu; Kang, Seok Ho; Lee, Young Goo; Rha, Koon Ho; Jeong, Byong Chang; Ko, Young Hwi; Lee, Hyun Moo; Seo, Seong Il; Kwon, Tae Gyun; Park, Seung Chol; Jung, Se Il; Sung, Gyung Tak; Kim, Hyeon Hoe.

In: Journal of Endourology, Vol. 24, No. 9, 01.09.2010, p. 1435-1440.

Research output: Contribution to journalArticle

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T1 - Robot-assisted radical cystectomy and pelvic lymph node dissection

T2 - A multi-institutional study from Korea

AU - Kang, Sung Gu

AU - Kang, Seok Ho

AU - Lee, Young Goo

AU - Rha, Koon Ho

AU - Jeong, Byong Chang

AU - Ko, Young Hwi

AU - Lee, Hyun Moo

AU - Seo, Seong Il

AU - Kwon, Tae Gyun

AU - Park, Seung Chol

AU - Jung, Se Il

AU - Sung, Gyung Tak

AU - Kim, Hyeon Hoe

PY - 2010/9/1

Y1 - 2010/9/1

N2 - Purpose: To report short-term retrospective perioperative and pathologic outcomes of the first robot-assisted radical cystectomy (RARC) series in Korea. Patients and Methods: Between April 2007 and August 2009, 104 nonconsecutive patients, including 22 women, underwent RARC across seven institutions. We evaluated the outcomes in these cases, including operative variables, hospital recovery, pathologic outcomes, and complication rate. Results: The mean age of all patients was 63.6 years (range 39-82 years), and the mean body mass index was 23.6 kg/m2 (range 16.0-31.8 kg/m2). Among the 104 patients, 60 had an ileal conduit and 44 had an orthotopic neobladder. The mean total operative time was 554 minutes, and the mean blood loss was 526 mL. The time to flatus and bowel movement was about 3 days, and the time until hospital discharge was about 18 days. The mean number of lymph nodes removed were 18, and 10 patients had node metastatic disease on final pathologic evaluation. Postoperative complications occurred in 28 (26.9%) patients. Conclusions: Our initial experience with RARC appears to be favorable with acceptable operative, pathologic, and short-term clinical outcomes. The current series suggests that RARC is becoming more prevalent, not only in Western countries, but also in Asian countries, just as robot-assisted radical prostatectomy has also gained widespread acceptance. Data from long-term, large, prospective, multicenter, ideally randomized comparative studies with open radical cystectomy are needed to confirm the outcome of the novel operation reported here.

AB - Purpose: To report short-term retrospective perioperative and pathologic outcomes of the first robot-assisted radical cystectomy (RARC) series in Korea. Patients and Methods: Between April 2007 and August 2009, 104 nonconsecutive patients, including 22 women, underwent RARC across seven institutions. We evaluated the outcomes in these cases, including operative variables, hospital recovery, pathologic outcomes, and complication rate. Results: The mean age of all patients was 63.6 years (range 39-82 years), and the mean body mass index was 23.6 kg/m2 (range 16.0-31.8 kg/m2). Among the 104 patients, 60 had an ileal conduit and 44 had an orthotopic neobladder. The mean total operative time was 554 minutes, and the mean blood loss was 526 mL. The time to flatus and bowel movement was about 3 days, and the time until hospital discharge was about 18 days. The mean number of lymph nodes removed were 18, and 10 patients had node metastatic disease on final pathologic evaluation. Postoperative complications occurred in 28 (26.9%) patients. Conclusions: Our initial experience with RARC appears to be favorable with acceptable operative, pathologic, and short-term clinical outcomes. The current series suggests that RARC is becoming more prevalent, not only in Western countries, but also in Asian countries, just as robot-assisted radical prostatectomy has also gained widespread acceptance. Data from long-term, large, prospective, multicenter, ideally randomized comparative studies with open radical cystectomy are needed to confirm the outcome of the novel operation reported here.

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