Efficacy of Robot-assisted Radical Cystectomy in Advanced Bladder Cancer: Results from the International Radical Cystectomy Consortium (IRCC)

Authors

A. Al-Daghmin
E. C. Kauffman
Y. Shi
K. Badani
M. D. Balbay
E. Canda
P. Dasgupta
R. Ghavamian
L. Richstone, Hofstra Northwell School of Medicine
K. A. Guru
+24 additional authors

Publication Date

2013

Journal Title

BJU Int

Abstract

OBJECTIVES: To characterize the surgical feasibility and outcomes of robot-assisted radical cystectomy (RARC) for pathologic T4 bladder cancer. SUBJECTS/PATIENTS: Retrospective evaluation of a prospectively maintained IRCC database was conducted for 1118 patients who underwent RARC between 2003 and 2012. We dichotomized patients based on pathologic stage (10 days, and 90-day readmission were significantly associated with complications in pT4 patients. Meanwhile, BMI, LOS >10 days, grade 3-5 complications, 90-day readmission, smoking, previous abdominal surgery and neoadjuvant chemotherapy were significantly associated with mortality in pT4 patients. On multivariate analysis, BMI was an independent predictor of complications in pT4 patients, but not for mortality. CONCLUSIONS: RARC for pT4 bladder cancer is surgically feasible but entails significant morbidity and mortality. BMI was independent predictor of complications in pT4 patients.

Document Type

Article

EPub Date

2013/11/14

Status

Faculty

Facility

School of Medicine

Primary Department

Urology

PMID

24219170

DOI

10.1111/bju.12569