Comparison of laparoscopic and open radical cystoprostatectomy for localized XXXX with 3-year oncological followup: a single surgeon experience.

@entity1 @entity282 @entity150 @entity190
PURPOSE: We compared the results of laparoscopic and open radical cystectomy performed for organ confined @entity150 by a single surgeon. MATERIALS AND METHODS: Between June 1999 and December 2005, 55 laparoscopic radical cystectomies were performed by a single surgeon. Of these @entity1 30 who had organ confined @entity150 on preoperative evaluation formed the laparoscopic radical cystectomy group and 35 who underwent open radical cystectomy performed by the same surgeon formed the open radical cystectomy group. All @entity1 underwent radical cystectomy, pelvic lymphadenectomy and ileal conduit urinary diversion. In the laparoscopic radical cystectomy group the ileal conduit was created through the 6 to 10 cm midline incision used for specimen extraction. RESULTS: Mean operative time was significantly more in the laparoscopic group. However, mean @entity190 , analgesic requirement and transfusion requirement were significantly less in the laparoscopic group. The complication rate in the 2 groups was not significantly different. One @entity1 per group had a margin positive for @entity150 . At a mean followup of 38 (range 15 to 54) and 46 months (range 14 to 96) 23 @entity1 (76%) in the laparoscopic group and 28 (80%) in the open group, respectively, survived free of recurrence (p = 0.2). CONCLUSIONS: The laparoscopic approach provides the benefit of lesser @entity190 and @entity282 in @entity1 undergoing radical cystectomy for organ confined @entity150 . The oncological outcome is comparable to that of open radical cystectomy at 3-year followup. However, longer followup in a larger cohort of @entity1 is needed to assess long-term oncological and functional outcomes.
