You have accessJournal of UrologyBladder Cancer: Invasive VI1 Apr 2016PD39-05 ONCOLOGICAL OUTCOMES OF TOTALLY INTRACORPOREAL ROBOT-ASSISTED RADICAL CYSTECTOMY: RESULTS FROM THE EUROPEAN ASSOCIATION OF UROLOGY ROBOTIC UROLOGY SECTION (ERUS) SCIENTIFIC WORKING GROUP Abolfazl Hosseini, Justin Collins, Christofer Adding, Tommy Nyberg, Anthony Koupparis, Edward Rowe, Matthew Perry, Rami Issa, Martin Schumacher, Carl Wijburg, Erdem Canda, Mevlana Balbay, Karel Decaestecker, Christian Schwentner, Arnulf Stenzl, Sebastian Edeling, Saša Pokupic, Khurshid Guru, Alexander Mottrie, and Peter Wiklund Abolfazl HosseiniAbolfazl Hosseini More articles by this author , Justin CollinsJustin Collins More articles by this author , Christofer AddingChristofer Adding More articles by this author , Tommy NybergTommy Nyberg More articles by this author , Anthony KoupparisAnthony Koupparis More articles by this author , Edward RoweEdward Rowe More articles by this author , Matthew PerryMatthew Perry More articles by this author , Rami IssaRami Issa More articles by this author , Martin SchumacherMartin Schumacher More articles by this author , Carl WijburgCarl Wijburg More articles by this author , Erdem CandaErdem Canda More articles by this author , Mevlana BalbayMevlana Balbay More articles by this author , Karel DecaesteckerKarel Decaestecker More articles by this author , Christian SchwentnerChristian Schwentner More articles by this author , Arnulf StenzlArnulf Stenzl More articles by this author , Sebastian EdelingSebastian Edeling More articles by this author , Saša PokupicSaša Pokupic More articles by this author , Khurshid GuruKhurshid Guru More articles by this author , Alexander MottrieAlexander Mottrie More articles by this author , and Peter WiklundPeter Wiklund More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1511AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Data on the oncological outcomes in patients undergoing robot-assisted radical cystectomy (RARC) is limited. Globally extracorporeal urinary diversion following RARC remains the most common approach despite potential advantages of a completely minimally invasive approach. We report oncological outcomes and associated prognostic factors from a multi-institutional European database focusing on the centres performing totally intracorporeal RARC. METHODS Retrospective review of the prospectively populated ERUS scientific working group multi-institutional database identified 621 patients at 10 different Institutions (7 countries), with a minimum of 3 months follow-up, who underwent RARC with an intracorporeal urinary diversion between December 2003 and January 2015. Clinical, pathologic, and survival data at the latest follow-up were collected. RESULTS Median age was 66 years, 83% were men. 95% of patients had transitional cell carcinoma. 112 (76%) patients were alive at the time of the analysis. 24% received neoadjuvant chemotherapy. The median follow-up time for patients was 19 months (IQR 11-36). 147 patients had a minimum of 3 years follow-up and 47 patients (32%) had undergone surgery 5 or more years ago. 30 patients (4.85%) had a positive surgical margin (PSM), of which 28 (93.3%) had T3/T4 disease, equivalent to 13.9% of all patients with T3/T4. Two patients (0.7%) with organ-confined disease had a PSM. The median yield for extended pelvic lymph node dissection was 18. The 5-year cancer specific survival (CSS), overall survival (OS) and recurrence free survival (RFS) were 73.8%, 70.5% and 71.6% respectively. On multivariable analysis, non-organ confined versus organ confined disease was found to impact CSS, OS and RFS (HR 4.5, 3.3 and 4.2 respectively). In this series no patient with pT0 has had a recurrence to date. CONCLUSIONS Medium term follow-up for totally intracorporeal RARC shows acceptable survival outcomes comparable to open radical cystectomy series. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e931-e932 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Abolfazl Hosseini More articles by this author Justin Collins More articles by this author Christofer Adding More articles by this author Tommy Nyberg More articles by this author Anthony Koupparis More articles by this author Edward Rowe More articles by this author Matthew Perry More articles by this author Rami Issa More articles by this author Martin Schumacher More articles by this author Carl Wijburg More articles by this author Erdem Canda More articles by this author Mevlana Balbay More articles by this author Karel Decaestecker More articles by this author Christian Schwentner More articles by this author Arnulf Stenzl More articles by this author Sebastian Edeling More articles by this author Saša Pokupic More articles by this author Khurshid Guru More articles by this author Alexander Mottrie More articles by this author Peter Wiklund More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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