Surgical outcomes and predictive value for major complications of robot-assisted radical cystectomy of real-world data in a single institution in Japan
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View abstract on PubMed
Summary
This summary is machine-generated.Robot-assisted radical cystectomy outcomes were analyzed in 208 Japanese patients. Prolonged operative time was identified as the primary risk factor for major complications, highlighting the need for efficient surgical techniques in this procedure.
Area Of Science
- Urology
- Surgical Oncology
- Robotic Surgery
Background
- Robot-assisted radical cystectomy (RARC) is increasingly utilized for bladder cancer treatment.
- Understanding real-world surgical outcomes and complication predictors is crucial for optimizing patient care.
Purpose Of The Study
- To describe the surgical outcomes of RARC in a Japanese single-institution cohort.
- To identify predictive factors for major postoperative complications following RARC.
Main Methods
- Retrospective analysis of 208 consecutive RARC patients (2019-2023).
- Review of patient/disease characteristics, intraoperative details, and perioperative outcomes.
- Multivariable logistic analysis to identify predictors of major complications (Clavien-Dindo grades 3-5).
Main Results
- The cohort included 147 men and 61 women (median age 70 years).
- Overall complication rate was 53% (140/208), with 14% major complications (28/208).
- Prolonged operative time (OR: 4.34) was the sole independent risk factor for major complications.
Conclusions
- RARC demonstrates feasible surgical outcomes at a single Japanese institution.
- Prolonged operative time is a significant predictor of major complications after RARC.
- This study represents the largest single-center RARC series in Japan to date.
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