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Anterior versus posterior approach laparoscopic radical cystectomy: a retrospective analysis

OBJECTIVE: To investigate the mortality, operation time, cystectomy time, and complications of anterior approach laparoscopic radical cystectomy (ALRC) in Asian males in comparison with posterior approach laparoscopic radical cystectomy (PLRC). MATERIALS AND METHODS: One hundred forty-seven male pat...

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Autores principales: Tong, Shiyu, Yang, Zhenyu, Zu, Xiongbin, Li, Yuan, He, Wei, Li, Yangle, Hu, Xiheng, Zhao, Cheng, Chen, Minfeng, Qi, Lin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323807/
https://www.ncbi.nlm.nih.gov/pubmed/30616571
http://dx.doi.org/10.1186/s12957-018-1547-7
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author Tong, Shiyu
Yang, Zhenyu
Zu, Xiongbin
Li, Yuan
He, Wei
Li, Yangle
Hu, Xiheng
Zhao, Cheng
Chen, Minfeng
Qi, Lin
author_facet Tong, Shiyu
Yang, Zhenyu
Zu, Xiongbin
Li, Yuan
He, Wei
Li, Yangle
Hu, Xiheng
Zhao, Cheng
Chen, Minfeng
Qi, Lin
author_sort Tong, Shiyu
collection PubMed
description OBJECTIVE: To investigate the mortality, operation time, cystectomy time, and complications of anterior approach laparoscopic radical cystectomy (ALRC) in Asian males in comparison with posterior approach laparoscopic radical cystectomy (PLRC). MATERIALS AND METHODS: One hundred forty-seven male patients with bladder cancer (cT2-3NxM0) in our hospital from May 2011 to January 2018 having undergone laparoscopic radical cystectomy were studied, including 68 patients in PLRC group and 79 patients in ALRC group. Baseline patient characteristics, operative and postoperative characteristics, and postoperative complications were retrospectively collected and analyzed between the two groups. RESULTS: Patients in these two groups exhibited similar baseline characteristics (p > 0.05). Compared with PLRC group, ALRC group required similar operation time (317.3 ± 40.9 vs 321.9 ± 37.5) and cystectomy time (64.8 ± 8.7 vs 65.6 ± 14.0). The ALRC group required less cystectomy time (67.8 ± 10.1 vs 77.4 ± 14.9) when patients’ BMI > 24 or patients had large total tumor and blood clot volume (> 160 cm(3)). Also, estimated blood loss (EBL) of ALRC group was significantly less than that of PLRC group (477.8 ± 97.4 vs 550.4 ± 99.9). There existed no significant differences between the PLRC and ALRC groups in postoperative characteristics and complications. CONCLUSION: This study revealed that ALRC required less cystectomy time for patients with higher BMI and larger tumor, suggesting less blood loss and similar perioperative complications. ALRC is recommend for male patients, of which BMI > 24 or total tumor and blood clot volume > 160 cm(3).
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spelling pubmed-63238072019-01-11 Anterior versus posterior approach laparoscopic radical cystectomy: a retrospective analysis Tong, Shiyu Yang, Zhenyu Zu, Xiongbin Li, Yuan He, Wei Li, Yangle Hu, Xiheng Zhao, Cheng Chen, Minfeng Qi, Lin World J Surg Oncol Research OBJECTIVE: To investigate the mortality, operation time, cystectomy time, and complications of anterior approach laparoscopic radical cystectomy (ALRC) in Asian males in comparison with posterior approach laparoscopic radical cystectomy (PLRC). MATERIALS AND METHODS: One hundred forty-seven male patients with bladder cancer (cT2-3NxM0) in our hospital from May 2011 to January 2018 having undergone laparoscopic radical cystectomy were studied, including 68 patients in PLRC group and 79 patients in ALRC group. Baseline patient characteristics, operative and postoperative characteristics, and postoperative complications were retrospectively collected and analyzed between the two groups. RESULTS: Patients in these two groups exhibited similar baseline characteristics (p > 0.05). Compared with PLRC group, ALRC group required similar operation time (317.3 ± 40.9 vs 321.9 ± 37.5) and cystectomy time (64.8 ± 8.7 vs 65.6 ± 14.0). The ALRC group required less cystectomy time (67.8 ± 10.1 vs 77.4 ± 14.9) when patients’ BMI > 24 or patients had large total tumor and blood clot volume (> 160 cm(3)). Also, estimated blood loss (EBL) of ALRC group was significantly less than that of PLRC group (477.8 ± 97.4 vs 550.4 ± 99.9). There existed no significant differences between the PLRC and ALRC groups in postoperative characteristics and complications. CONCLUSION: This study revealed that ALRC required less cystectomy time for patients with higher BMI and larger tumor, suggesting less blood loss and similar perioperative complications. ALRC is recommend for male patients, of which BMI > 24 or total tumor and blood clot volume > 160 cm(3). BioMed Central 2019-01-07 /pmc/articles/PMC6323807/ /pubmed/30616571 http://dx.doi.org/10.1186/s12957-018-1547-7 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Tong, Shiyu
Yang, Zhenyu
Zu, Xiongbin
Li, Yuan
He, Wei
Li, Yangle
Hu, Xiheng
Zhao, Cheng
Chen, Minfeng
Qi, Lin
Anterior versus posterior approach laparoscopic radical cystectomy: a retrospective analysis
title Anterior versus posterior approach laparoscopic radical cystectomy: a retrospective analysis
title_full Anterior versus posterior approach laparoscopic radical cystectomy: a retrospective analysis
title_fullStr Anterior versus posterior approach laparoscopic radical cystectomy: a retrospective analysis
title_full_unstemmed Anterior versus posterior approach laparoscopic radical cystectomy: a retrospective analysis
title_short Anterior versus posterior approach laparoscopic radical cystectomy: a retrospective analysis
title_sort anterior versus posterior approach laparoscopic radical cystectomy: a retrospective analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323807/
https://www.ncbi.nlm.nih.gov/pubmed/30616571
http://dx.doi.org/10.1186/s12957-018-1547-7
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