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. 2012 Mar;1(1):4-8.
doi: 10.3978/j.issn.2223-4683.2012.02.01.

Comparison of laparoscopic and open cystectomy for bladder cancer: a single center of 110 cases report

Wei Zheng  1 , Xuesong Li  1 , Gang Song  1 , Zheng Zhang  1 , Wei Yu  1 , Kan Gong  1 , Yi Song  1 , Qian Zhang  1 , Zhisong He  1 , Yinglu Guo  1 , Liqun Zhou  1
Affiliations

Comparison of laparoscopic and open cystectomy for bladder cancer: a single center of 110 cases report

Wei Zheng et al. Transl Androl Urol. 2012 Mar.

Abstract

Purpose: We compared the operative time, complications, blood loss, total cost, and hospital days of laparoscopic cystectomy vs. open cystectomy for bladder cancer.

Materials and methods: This retrospective, nonrandomized study was conducted between January 2004 and March 2011 on 110 patients (17 women and 93 men) who underwent radical cystectomy for bladder cancer. A total of 45 cystectomies were performed laparoscopically and 65 by open surgery. Mean patient age was 62.9±10.4 years. The age, gender, American Society of Anesthesiologists score, histopathological results etc. were reviewed in this article.

Results: Intraoperative blood loss was significantly lower in the laparoscopic surgery group (821±776 vs. 1112±706 mL, P=0.044) while operative time was significantly lower in the open surgery group (376±90 vs. 445±119 min, P=0.001). The total costs were also significantly lower in the open surgery group 51,726±13,589 yuan (about $8000) vs. 63,053±19,378 yuan (about $10,000), P<0.001). There was no statistically significant difference in complication rates, postoperative days in hospital between the two groups.

Conclusions: Laparoscopic cystectomy can reduce intraoperative blood loss significantly. Open cystectomy requires less operative time and has a lower cost than laparoscopic cystectomy for bladder cancer. There was no statistically significant difference in postoperative complication rates in the hospital between the two groups.

Keywords: Bladder cancer; cystectomy; laparoscopy surgery; open surgery.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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