Randomized Controlled Trial of Laparoscopic versus Open Radical Cystectomy in a Laparoscopic Naïve Center
Table 4
Comparison of postoperative outcomes and complications between LRC and ORC groups.
Whole cohort (N = 60)
LRC (N = 30)
ORC (N = 30)
value
Time to solids oral intake (days)
7.35 ± 4.64
6.07 ± 3.62
8.63 ± 5.22
0.031
LOS (days)
11.82 ± 4.83
9.8 ± 4.13
13.83 ± 4.69
0.001
Postoperative opioid requirement
23 (38.3%)
7 (23.3%)
16 (53.3%)
0.033
Conversion from laparoscopy to open
0
0
N/A
Seroma
7 (11.7%)
2 (6.7%)
5 (16.7%)
0.4
Surgical site infection (SSI)
3 (5%)
1 (3.3%)
2 (6.7%)
0.99
Urinary tract infection
1 (1.7%)
1 (3.3%)
0
0.99
Ileus
10 (16.7%)
2 (6.7%)
8 (26.7%)
0.02
Urine leak
4 (6.7%)
2 (6.7%)
2 (6.7%)
0.99
Small intestinal injury
0
0
0
0.99
Rectal injury
1 (1.7%)
0
1 (3.3%)
0.99
Anastomotic bowel leak
4 (6.7%)
2 (6.7%)
2 (6.7%)
0.47
Abdominal wall dehiscence
3 (5%)
0
3 (10.3%)
0.24
Pneumonia
2 (3.3%)
0
2 (6.7%)
0.47
Pulmonary embolism
2 (3.3%)
1 (3.3%)
1 (3.3%)
0.99
Hospital readmission
7 (11.7%)
2 (6.7%) (i) Small intestinal leakage (ii) DVT
5 (17.2%) (i) Small intestinal leakage (2 cases) (ii) Abdominal wall dehiscence (2 cases) (iii) Small bowel obstruction (1 case)
0.4
Mortality
1 (1.7%)
0
1 (3.3%)
0.99
Incisional hernia
3
0
3/29 (10.3%)
0.2
Port-site recurrence
0
0
N/A
DVT: deep vein thrombosis; LOS: length of stay; LRC: laparoscopic radical cystectomy; ORC: open radical cystectomy; N/A: not applicable; Total number of cases is 29 due to the presence of one postoperative mortality in the ORC group.
