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Cancer - Bladder, Pelvis, Ureter & Others(구연)
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(E-044)
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Perioperative and Oncological Outcomes of Robot-Assisted Radical Cystectomy : Results from a Korean Multicenter Study |
1 고려대학교 안암병원, 비뇨기과학교실
2 분당 서울대학교 병원, 비뇨기과학교실
3 서울대학교 의과대학, 비뇨기과학 교실
4 서울대학교 병원, 비뇨기과학교실
5 경북대학교 병원, 비뇨기과학교실
6 경희대학교 의과대학, 비뇨기과학교실
7 부산대학교 양산병원, 비뇨기과학교실
8 인제대학교 부산백병원, 비뇨기과학교실
9 성균관대학교 삼성병원, 비뇨기과학교실
10 서울 카톨릭대학교 병원, 비뇨기과학교실
11 연세대학교 세브란스병원, 비뇨기과학교실
12 한림대학교 강남성심병원, 비뇨기과학교실
13 한림대학교 안양성심병원, 비뇨기과학교실
14 한립대학교 의과대학교, 비뇨기과학교실 |
| 태종현1, 오종진2,3 , 이상철2, 구자현3,4, 권태균5, 김태환5, 전승현6, 이상협6, 남종길7, 김완석8, 정병창9, 홍성후10, 라군호11, 한웅규11, 함원식11, 이영구12, 이용성13, 박성열14, 윤영은14, 강성구1, 이지열10*, 강석호1* (*: 공동교신저자) |
Background: To evaluate the perioperative and oncological outcomes of robot-assisted radical cystectomy(RARC) in Korea
Methods: Data from 730 patients in the KORARC (Korean Robot Assisted Radical Cystectomy Study Group) Database who underwent RARC between April 2007 to May 2019 in 11 tertirary referral centers (21 surgeons) in Korea were retrospectively collected and analyzed. Demographics, perioperative outcomes and oncological outcomes were evaluated.
Results: Among the 730 RARC cases, 504(74.0%) were extracorporeal urinary diversions while 177(26.0%) were totally intracorporeal urinary diversions. 275(37.7%), 391(53.6%) and 26(3.6%) patients each received an ileal conduit, orthotopic neobladder and ureterocutaneostomy, respectively. The positive surgical margin rate was 3.0%. The mean lymph node yield for standard and extended pelvic lymph node dissection(PLND) were 16.9 and 21.3, respectively. The mean estimated blood loss and intraoperative blood transfusion rate were 516mL and 15.5%, respectively. Readmission rate was 38.4% with gastrointestinal(15.1%) and infection(14.5%) complications being the most common type of adverse events. The 5-year overall survival and 3-year recurrence-free survival rates were 79.4% and 65.2%, respectively.
Conclusion : Results of RARC in Korea show comparable perioperative and oncological outcomes to current literature and also to historical open radical cystectomy data. Large prospective data is required to draw any definitive conclusions.
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keywords : cystectomy, robotics, urinary bladder neoplasms |
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