Laparoscopy and RoboticsHealth-related Quality of Life Outcomes After Robot-assisted and Open Radical Cystectomy Using a Validated Bladder-specific Instrument: A Multi-institutional Study
Section snippets
Patient Population
As part of institutional review board–approved quality assurance databases, all patients undergoing radical cystectomy with ileal conduit urinary diversion at Roswell Park Cancer Institute and University of Michigan between January 2009 and December 2012 were included in this retrospective case series. All patients completed the BCI and BIS preoperatively and at standardized postoperative intervals (at least twice postoperatively). Follow-up questionnaires were completed at the first
Results
One hundred eighty-two patients who underwent either RARC or ORC met the inclusion criteria and were included in this retrospective case series. One hundred patients had ORC and 82 patients had RARC; meanwhile, RARC patients were further subdivided according to the diversion (40 extracorporeal and 42 intracorporeal).
Discussion
Comparative effectiveness of RARC and the gold standard ORC is needed, not only regarding perioperative and oncologic outcomes but also from a quality of life perspective as well. This study is the first of its kind, to our knowledge, to use validated HRQL assessment measures (BCI and BIS) to evaluate and compare HRQL between RARC and ORC. We also compared the HRQL outcomes based on the diversion technique used (extracorporeal vs intracorporeal).
Our analysis showed no advantage of any approach
Conclusion
HRQL outcomes between ORC and RARC, with ileal conduit diversion, are not different based on BCI and BIS instruments. Better sexual functions are noted in the open group over time only. No quality of life differences were noted based on the diversion technique used.
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2019, Sexual Medicine ReviewsCitation Excerpt :Comparison of surgical approach has been shown to influence outcomes as well.9,51–56 A retrospective case series comparing quality-of-life outcomes between open and robot-assisted radical cystectomy using the Bladder Cancer Index and Body Image Scale found that the open approach had better sexual function outcomes than the robotic group.57 However, a study conducted 2 years later found no difference in sexual function.
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Financial Disclosure: Khurshid A. Guru is a board member of Simulated Surgical Systems LLC. The remaining authors declare that they have no relevant financial interests.