Author:
Nakamura Masaki,Tsuru Ibuki,Izumi Taro,Ono Akihiro,Inoue Yasushi,Muraki Yasuko,Yamada Yumi,Tsuji Yuko,Watanabe Junko,Fujimura Mutsuko,Kihara Shunsuke,Naito Akihiro,Shiratori Taichi,Amakawa Ryo,Inatsu Hiroki,Yoshimatsu Tadashi,Kashiwagi Masanori,Fukuda Akira,Morikawa Teppei,Kusakabe Masashi,Suzuki Motofumi,Kameyama Shuji,Kume Haruki,Shiga Yoshiyuki
Abstract
AbstractRadical cystectomy is a gold-standard treatment for muscle-invasive bladder cancer. We recently introduced robot-assisted radical cystectomy (RARC) with perioperative enhanced recovery after surgery (ERAS). The medical records of patients with bladder cancer who underwent open radical cystectomy (ORC) or RARC/ERAS at NTT Medical Center Tokyo were retrospectively reviewed to compare the surgical outcomes, hospital stay, and medical costs between groups. Multidisciplinary full ERAS items were provided for the RARC/ERAS group. The median estimated blood losses in the ORC and RARC/ERAS groups were 650 and 100 mL, and the median operative times were 312 and 445 min, respectively. In addition, the median times to liquid food intake in these groups were 6 and 0 days, the median times to first flatus and first defecation were 2 and 1 day, and 3 and 1.5 days, respectively. The rates of postoperative ileus in the ORC and RARC/ERAS groups were 27.5% and 4.5%, and the median postoperative hospital stays was 26.5 and 12 days, respectively. Medical costs excluding surgery were significantly lower in the RARC/ERAS group. In conclusion, RARC/ERAS represents a safe treatment option for muscle-invasive bladder cancer with decreased perioperative complications and lower medical costs.
Publisher
Springer Science and Business Media LLC