Short-Term Health Outcomes of Laparoscopic Radical Cystectomy and Assessing The Immediate Post-Operative Results, Including Complication Rates, Length of Hospital Stays, and Recovery Time

Authors

  • Dr. Mohammed Hameed Jasim Iraqi Ministry of Health, Karbala Medical Office, Imam Hussain Medical Teaching City, Department of Urology, Karbala, Iraq.
  • Dr. Ali Badan Mohsen Alkuraiti Iraqi Ministry of Health, Karbala Medical Office, Imam Hasan Medical Teaching City, Department of Urology, Karbala, Iraq.
  • Dr. Mohammed Hameed Jasim Iraqi Ministry of Health, Karbala Medical Office, Imam Hussain Medical Teaching City, Department of Urology, Karbala, Iraq.

DOI:

https://doi.org/10.51699/ijhsms.v4i1.416

Keywords:

Radical Cystectomy, Laparoscopic Approach, Complications Rate, Hospitalization Duration, Recovery Time

Abstract

Although radical cystectomy has been shown to be effective in terms of local control and long-term disease-free survival, this procedure can be associated with high perioperative morbidity. This study specialized in evaluating clinical outcomes of patients following laparoscopic radical cystectomy by recruiting 107 patients who underwent the procedure between February 14, 2023, and October 25, 2024. Demographic data and surgical outcomes, including pain scores, hospital length of stay, mortality rates, and recovery time, were recorded, along with health-related quality of life assessments through questionnaires. The surgical outcomes revealed that the operation period was 280 ± 30 min, days to return to a regular diet averaged 4 ± 1.5, ICU admission rate was 3.74%, length of stay ≤6 days was observed in 90.65% of cases, mortality occurred in 2 cases, and post-operative complications were 15.89%, while for open surgery, the operation period was 250 ± 30 min, days to return to a regular diet averaged 6.2 ± 1.5, ICU admission was 13.08%, length of stay ≤6 days was 83.18%, mortality occurred in 9 cases, and post-operative complications were 20.56%. The present study demonstrated that laparoscopic radical cystectomy is the optimal surgical intervention, exhibiting favorable clinical and pathological outcomes in comparison with open surgery.

References

R. Siegel, D. Naishadham, and A. Jemal, “Cancer statistics, 2013,” CA, vol. 63, pp. 11–30, 2013.

A. Lopez-Beltran, “Bladder cancer: clinical and pathological profile,” Scand. J. Urol. Nephrol. Suppl., no. 218, pp. 95–109, 2008.

C. Huang et al., “Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China,” The lancet, vol. 395, no. 10223, pp. 497–506, 2020.

A. Shabsigh, R. Korets, K. C. Vora, and others, “Defining early morbidity of radical cystectomy for patients with bladder cancer using a standardized reporting methodology,” Eur. Urol., vol. 55, pp. 164–174, 2009.

G. P. Haber, S. Crouzet, and I. S. Gill, “Laparoscopic and robotic-assisted radical cystectomy for bladder cancer: a critical analysis,” Eur. Urol., vol. 54, pp. 54–62, 2008.

G. P. Haber, S. C. Campbell, J. R. Jr. Colombo, and others, “Perioperative outcomes with laparoscopic radical cystectomy: ‘pure laparoscopic’ and ‘open-assisted laparoscopic’ approaches,” Urology, vol. 70, pp. 910–915, 2007.

R. E. Taylor et al., “Outcome for patients with metastatic (M2–3) medulloblastoma treated with SIOP/UKCCSG PNET-3 chemotherapy,” Eur. J. Cancer, vol. 41, no. 5, pp. 727–734, 2005.

J. J. Leow, S. W. Reese, W. Jiang, and others, “Propensity-matched comparison of morbidity and costs of open and robot-assisted radical cystectomies: a contemporary population-based analysis in the United States,” Eur. Urol., 2014.

M. Menon, A. K. Hemal, A. Tewari, and others, “Nerve-sparing robot-assisted radical cystoprostatectomy and urinary diversion,” BJU Int., vol. 92, pp. 232–236, 2003.

A. F. Fergany and I. S. Gill, “Laparoscopic radical cystectomy,” Urol. Clin. North Am., vol. 35, pp. 455–466, viii–ix, 2008.

J. L. Wright and M. P. Porter, “Quality-of-life assessment in patients with bladder cancer,” Nat. Clin. Pract. Urol., vol. 4, pp. 147–154, 2007.

E. W. Gerharz, A. Mansson, S. Hunt, E. C. Skinner, and W. Mansson, “Quality of life after cystectomy and urinary diversion: an evidence-based analysis,” J. Urol., vol. 174, pp. 1729–1736, 2005.

H. Kim, “Comparative analysis of Google Meet and Slack in fostering student interaction in virtual learning,” Asian J. Digit. Educ., vol. 8, no. 3, pp. 23–41, 2022.

A. Smith, R. Kurpad, A. Lal, M. Nielsen, E. M. Wallen, and R. S. Pruthi, “Cost analysis of robotic versus open radical cystectomy for bladder cancer,” J. Urol., vol. 183, pp. 505–509, 2010.

J. Nix, A. Smith, R. Kurpad, M. E. Nielsen, E. M. Wallen, and R. S. Pruthi, “Prospective randomized controlled trial of robotic versus open radical cystectomy for bladder cancer: perioperative and pathologic results,” Eur. Urol., vol. 57, pp. 196–201, 2010.

N. R. Styn, J. S. Montgomery, D. P. Wood, and others, “Matched comparison of robotic-assisted and open radical cystectomy,” Urology, vol. 79, pp. 1303–1309, 2012.

Z. A. Dotan, K. Kavanagh, O. Yossepowitch, and others, “Positive surgical margins in soft tissue following radical cystectomy for bladder cancer and cancer-specific survival,” J. Urol., vol. 178, pp. 2308–2312, 2007.

H. W. Herr, J. R. Faulkner, H. B. Grossman, and others, “Surgical factors influence bladder cancer outcomes: a cooperative group report,” J. Clin. Oncol., vol. 22, pp. 2781–2789, 2004.

V. Allareddy, J. Kennedy, M. M. West, and B. R. Konety, “Quality of life in long-term survivors of bladder cancer,” Cancer, vol. 106, pp. 2355–2362, 2006.

E. Kikuchi, Y. Horiguchi, J. Nakashima, and others, “Assessment of long-term quality of life using the FACT-BL questionnaire in patients with an ileal conduit, continent reservoir, or orthotopic neobladder,” Jpn. J. Clin. Oncol., vol. 36, pp. 712–716, 2006.

M. Metcalfe, E. Estey, N. E. Jacobsen, D. Voaklander, and A. S. Fairey, “Association between urinary diversion and quality of life after radical cystectomy,” Can. J. Urol., vol. 20, pp. 6626–6631, 2013.

T. M. Koppie, A. J. Vickers, K. Vora, G. Dalbagni, and B. H. Bochner, “Standardization of pelvic lymphadenectomy performed at radical cystectomy: can we establish a minimum number of lymph nodes that should be removed?,” Cancer, vol. 107, pp. 2368–2374, 2006.

Downloads

Published

2025-02-22

How to Cite

Hameed Jasim, D. M., Badan Mohsen Alkuraiti, D. A., & Hameed Jasim, D. M. (2025). Short-Term Health Outcomes of Laparoscopic Radical Cystectomy and Assessing The Immediate Post-Operative Results, Including Complication Rates, Length of Hospital Stays, and Recovery Time. International Journal of Health Systems and Medical Sciences, 4(1), 97–104. https://doi.org/10.51699/ijhsms.v4i1.416

Issue

Section

Articles

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.