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Oncologic outcomes and complications of initial experience of robot assisted laparascopic radical cystectomy (RRC)
Halil Kiziloz, MD1, Kyle T. Finnegan, BS1, Davıd Chalmers, MD2, Joseph R. Wagner, MD1, Anoop M. Meraney, MD1.
1Hartford Hospital, Hartford, CT, USA, 2University of Connecticut Health Center, Farmington, CT, USA.

BACKGROUND: We retrospectively evaluated the demographics, pathologic stages,survival and perioperative complications in patients who underwent robot assisted laparoscopic radical cystectomy for bladder cancer.
METHODS: Medical records of patients who underwent RRC between June 2008 and March 2012 were evaluated retrospectively.All the patients had robotic extented pelvic lymph node disection.Survival outcomes were analysed on survival tables and Kaplan-Meier plots.One and 2.5 years survival rates and hazard functions were calculated.Perioperative complications were recorded for the first 90 days following surgery.
RESULTS: The study population comprised 65 patients with mean age of 66.85±10.2.Of these, 50 patients (76.9%) were males. Eighteen (27.7%) cases received neoadjuvant chemotherapy. Lymph node involvement was noted in 13.8%.Pure urothelial carcinoma was present at 92.9% of the patients.Mean followup time was 21.8±13.4 months(1-45 months).The overall survival rate was 94.6% and 87% at 1 and 2.5 years. In total 14 (21.5%) of the patients were died of disease Cumulative hazard ratio of death on timeline is shown in figure1. Perioperative complications were noted in 15(23%) of the patients.(see table1)
CONCLUSIONS:The survival outcomes of our initial RRC experience seems to be comparable to outcomes of open series in the literature. A larger study population with longer follow up will be needed to confirm these initial encouraging results.
Complications by Clavien Grade
Number of ComplicationsDescription
Clavien I0-
Clavien II8DVT (n=3)
PTE (n=1)
MI (n=1)
UTI, local abcess (n=1)
Ileus (n=2)
Clavien IIIa4Urine leak from anastomosis (n=1)
UTI, local abcess (n=3)
Clavien IIIb2DVT (n=2)
Clavien IV1Urine leak from anastomosis (n=1)
Clavien V0-
Total15-


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