Cancer - Bladder, Pelvis, Ureter & Others(구연) Oral Session 5 / Cancer - Bladder, Pelvis, Ureter & Others (Ⅰ) (O-047)
Rm.201
10월 30일(수) 15:00-16:00
The oncological and functional outcomes of 100 cases of totally intracorporeal robot assisted radical cystectomy : experiences of a single tertiary hospital
고려대학교 의과대학 비뇨의학과 교실
태종현, 강하은, 진현중, 노태일, 김형근, 심지성, 천준, 이정구, 강석호
Background: To evaluate the overall oncological and functional outcome of totally intracorporeal robot-assisted radical cystectomy (RARC).
Methods: From January 2011 to March 2019, a total of 100 bladder cancer patients were treated with totally intracorporeal RARC in our institution by a single surgeon. The overall oncological and functional outcomes were evaluated.
Results: Among the 100 totally intracorporeal RARC cases, 32 patients received an ileal conduit while the other 68 patients received an orthotopic neobladder. The positive surgical margin rate was 1.0%. The mean lymph node yield for the standard and extended pelvic lymph node dissection (PLND) was 23.1 and 34.6, respectively. The 5-year overall survival and 3-year recurrence-free survival rates were 72.1% and 68.1%, respectively. The 1-year daytime continence rate was 70.6%, while the nighttime continence rate was 41.2%. The potency preservation rate was 72.7% (n =8/11) with or without PDE5-I at 1 year.
Conclusion : Totally intracorporeal RARC results in comparable oncological and functional outcomes to historical open radical cystectomy data. Large prospective data is required to draw any definitive conclusions.
keywords : cystectomy, robotics, urinary bladder neoplasms

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