The Short-term Clinical Therapeutic Effect Of Radical Cystectomy:a Comparison Of Laparoscopy Versus Open Surgery

【Objective】To compare the short-term clinical therapeutic effectof laparoscopic radical cystectomy (LRC) and open radical cystectomy(ORC),and summarize the related experience.【Methods】The clinical data of31cases with LRC and25cases withORC from April2009to December2011were retrospectively analyzed. Theperioperative data, postoperative recovery, complications andtherapeutic effect were compared between LRC group and ORC group.【Results】The operating time was (5.68±1.37)h in ORC group and（7.40±1.82）h in the LRC group (p<0.05）.The blood loss was （986.0±705.4）ml in ORC group and （340.3±242.4）ml in the LRC group (p<0.05）.The oralintake after operation was （5.0±2.4）days in ORC group and （4.5±2.0）days in the LRC group (p>0.05）.The hospitalize time after operation was（19.0±10.2）days in ORC group and （18.2±5.7）day in the LRC group(p<0.05）.The number of pelvic lymphadenectomy was （11.4±6.2）in theORC group and（11.1±5.6）in the LRC group. The rate of lymph node positivewas12.0﹪in the ORC group and19.4﹪in the LRC group(p>0.05）.Thecomplication rate was36.0﹪in the ORC group and25.8﹪in the LRC group.The follow-up period is3to35months，mean time is （17.0±9.5）months.In the LRC group, tumor recurrence was noted in2cases,13and18monthsafter surgery. And in ORC group, recurrence was noted in2cases,14and21months after surgery.【Conclusions】The short-term therapeutic effect between the twogroups is comparable. LRC had advantages of minimally invasive,lessblood loss, less postoperative complications, but had disadvantage ofmore operation time. It needs long-term follow up to confirm the tumorcontrol.