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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Bibliographic Details
Published in:The New England journal of medicine Vol. 371; no. 4; pp. 389 - 390
Main Authors: Bochner, Bernard H, Sjoberg, Daniel D, Laudone, Vincent P
Format: Journal Article
Language:English
Published: United States Massachusetts Medical Society 24.07.2014
Subjects:
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
ISSN:0028-4793, 1533-4406, 1533-4406
Online Access:Get full text
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Summary: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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ISSN:0028-4793
1533-4406
1533-4406
DOI:10.1056/NEJMc1405213