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Key Points Question What are the perioperative, safety, and survival outcomes of robot-assisted laparoscopic radical cystectomy (RARC) with intracorporeal urinary diversion compared with open radical cystectomy (ORC)? Findings This cohort… Click to show full abstract
Key Points Question What are the perioperative, safety, and survival outcomes of robot-assisted laparoscopic radical cystectomy (RARC) with intracorporeal urinary diversion compared with open radical cystectomy (ORC)? Findings This cohort study included 3169 patients undergoing cystectomy for bladder cancer between 2011 and 2018 in Sweden. After propensity score matching, patients who underwent RARC had lower overall mortality rate, fewer high-grade complications, and more favorable perioperative outcomes compared with those who underwent ORC. Meaning These findings suggest that in spite of the technically complex nature of the fully intracorporeal approach, nationwide implementation is feasible, with beneficial outcomes for patients with bladder cancer.
Journal Title: JAMA Network Open
Year Published: 2022
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