A Randomized Trial of Robot-Assisted Laparoscopic Radical Cystectomy
In a single-center, randomized trial comparing robot-assisted laparoscopic radical cystectomy with open surgery, there was no significant between-group difference in the rates of perioperative complications of grade 2 to 5. To the Editor: Radical cystectomy is the standard management of nonmetastati...
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| Published in: | The New England journal of medicine Vol. 371; no. 4; pp. 389 - 390 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Massachusetts Medical Society
24.07.2014
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| Subjects: | |
| ISSN: | 0028-4793, 1533-4406, 1533-4406 |
| Online Access: | Get full text |
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| Abstract | In a single-center, randomized trial comparing robot-assisted laparoscopic radical cystectomy with open surgery, there was no significant between-group difference in the rates of perioperative complications of grade 2 to 5.
To the Editor:
Radical cystectomy is the standard management of nonmetastatic, invasive bladder cancer. However, this treatment is associated with clinically significant perioperative complications and prolonged recovery time among patients with this disease, who are typically older and often have a history of smoking and coexisting conditions.
1
,
2
Retrospective studies indicate that robot-assisted laparoscopic surgery is associated with a reduced risk of complications and shorter hospital stay, as compared with open surgery,
3
but data are lacking from randomized trials. We report the results of a randomized, controlled trial (ClinicalTrials.gov number, NCT01076387) designed to assess whether robot-assisted laparoscopic radical cystectomy would . . . |
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| AbstractList | In a single-center, randomized trial comparing robot-assisted laparoscopic radical cystectomy with open surgery, there was no significant between-group difference in the rates of perioperative complications of grade 2 to 5. In a single-center, randomized trial comparing robot-assisted laparoscopic radical cystectomy with open surgery, there was no significant between-group difference in the rates of perioperative complications of grade 2 to 5. To the Editor: Radical cystectomy is the standard management of nonmetastatic, invasive bladder cancer. However, this treatment is associated with clinically significant perioperative complications and prolonged recovery time among patients with this disease, who are typically older and often have a history of smoking and coexisting conditions. 1 , 2 Retrospective studies indicate that robot-assisted laparoscopic surgery is associated with a reduced risk of complications and shorter hospital stay, as compared with open surgery, 3 but data are lacking from randomized trials. We report the results of a randomized, controlled trial (ClinicalTrials.gov number, NCT01076387) designed to assess whether robot-assisted laparoscopic radical cystectomy would . . . |
| Author | Sjoberg, Daniel D Laudone, Vincent P Bochner, Bernard H |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25054732$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.3322/caac.20138 10.1016/j.eururo.2008.07.031 10.1016/j.eururo.2013.10.001 10.1016/j.eururo.2013.01.010 |
| ContentType | Journal Article |
| Contributor | Donat, S Machele Herr, Harry W Laudone, Vincent P Dalbagni, Guido Silberstein, Jonathan Vickers, Andrew Bochner, Bernard H Paz, Gal E Keren Parra, Raul O Sjoberg, Daniel D Coleman, Jonathan A |
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| References | Johar, RS, Hayn, MH, Stegemann, AP (r003) 2013; 64 Shabsigh, A, Korets, R, Vora, KC (r004) 2009; 55 Chavan, S, Bray, F, Lortet-Tieulent, J, Goodman, M, Jemal, A (r001) 2014; 66 Siegel, R, Naishadham, D, Jemal, A (r002) 2012; 62 r001 r002 r003 r004 25337764 - N Engl J Med. 2014 Oct 23;371(17):1655 25528394 - Eur Urol. 2015 Jan;67(1):173-4 25337765 - N Engl J Med. 2014 Oct 23;371(17):1654-5 |
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| SubjectTerms | Aged Bladder cancer Blood Loss, Surgical - statistics & numerical data Cancer surgery Clinical trials Cystectomy - methods Female Humans Intention to Treat Analysis Laparoscopy Laparoscopy - methods Length of Stay Male Middle Aged Operative Time Postoperative Complications Robotic surgery Robotics Robots Urinary Bladder Neoplasms - surgery |
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| Title | A Randomized Trial of Robot-Assisted Laparoscopic Radical Cystectomy |
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