Beneficios perioperatorios progresivos de la laparoscopia y su combinación con un programa Enhanced recovery after surgery (ERAS) en la cistectomía radical con derivación urinaria heterotópica

Domínguez, A.; Muñoz-Rodríguez, J.; Martos, R.; Parejo, V.; Prera, A.; Tremps, C.; Bonfill, Teresa; Pino, C. del; Augé, Axel; Prats, J.

doi:10.1016/j.acuro.2020.10.008

Cited by 13 publications

(1 citation statement)

References 26 publications

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“…The results of postoperative histopathological examination in both groups showed that the patients in both groups were similar in terms of pathological stage, histological type, grading, lymph node metastasis and positive margins, and no significant differences were observed. Comparative analysis shows that laparoscopic surgery can also completely eradicate the tumor and effectively treat invasive bladder cancer [ 34 ]. Earlier studies on laparoscopic radical cystectomy reported a higher rate of positive surgical margins.…”

Section: Discussionmentioning

confidence: 99%

Effect of Radical Laparoscopic Surgery and Conventional Open Surgery on Surgical Outcomes, Complications, and Prognosis in Elderly Patients with Bladder Cancer

Chen

Pan

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. Bladder cancer is a common malignant tumor of the urinary system in the clinic. It has multiple lesions, easy recurrence, easy metastasis, poor prognosis, and high mortality. Objective. The aim of this study is to investigate the impact of laparoscopic radical cystectomy (LRC) and open radical cystectomy (ORC) on the surgical outcome, complications, and prognosis of elderly patients with bladder cancer. Materials and Methods. One hundred elderly bladder cancer patients who underwent surgery in our hospital from June 2019 to June 2021 were selected for the retrospective study and were divided into 50 cases each in the ORC group and the LRC group according to the different surgical methods. The ORC group was treated with ORC, and the LRC group implemented LRC treatment. The differences in surgery, immune function, recent clinical outcomes, and complications between the two groups were observed and compared. Results. The mean operative time, mean intraoperative bleeding, intraoperative and postoperative transfusion rate, and transfusion volume of patients in the LRC group were statistically significant when compared to the ORC group. The differences in the meantime to resume eating, time to get out of bed, mean number of days in hospital after surgery, and the amount of postoperative numbing analgesics used by patients in the LRC group after surgery were statistically significant compared to the ORC group ( P < 0.05 ). There was no statistically significant difference in the comparison of immune function between the two groups before surgery ( P > 0.05 ), while the comparison of CD8+ and B cells 1 week after surgery of the LRC group was significantly better than that of the ORC group ( P < 0.05 ), and the operation time of the LRC group was longer than that of the ORC group ( P < 0.05 ). Statistical analysis of postoperative complications showed that the overall incidence of postoperative complications in the LRC group was significantly lower than that in the ORC group (16.67% vs. 46.67%) ( P < 0.05 ). Conclusion. LRC has less surgical trauma and intraoperative bleeding, faster postoperative recovery, and fewer postoperative complications, providing some reference for clinical surgery for elderly bladder cancer patients.

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Section: Discussionmentioning

confidence: 99%