WEKO3
アイテム
Safety of Robot-Assisted Radical Cystectomy for Muscle-Invasive Bladder Cancer: A Real-World Analysis Using the National Clinical Database in Japan
http://hdl.handle.net/10458/0002001673
http://hdl.handle.net/10458/0002001673705c83dd-87d7-4d1b-aef5-9f6a0064bb32
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| アイテムタイプ | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||
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| 公開日 | 2025-08-27 | |||||||||||||||||||
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| タイトル | Safety of Robot-Assisted Radical Cystectomy for Muscle-Invasive Bladder Cancer: A Real-World Analysis Using the National Clinical Database in Japan | |||||||||||||||||||
| 言語 | en | |||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||
| キーワード | ||||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| キーワード | bladder cancer | |||||||||||||||||||
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| 言語 | en | |||||||||||||||||||
| キーワード | laparoscopic radical cystectomy | |||||||||||||||||||
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| 言語 | en | |||||||||||||||||||
| キーワード | radical prostatectomy | |||||||||||||||||||
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| 言語 | en | |||||||||||||||||||
| キーワード | robot-assisted | |||||||||||||||||||
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| 言語 | en | |||||||||||||||||||
| キーワード | surgery | |||||||||||||||||||
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| 資源タイプ | journal article | |||||||||||||||||||
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| アクセス権 | open access | |||||||||||||||||||
| 著者 |
Hatakeyama, Shingo
× Hatakeyama, Shingo
× Yamamoto, Hiroyuki
× Kitamura, Hiroshi
× 賀本, 敏行
WEKO
9783
× Kikuchi, Eiji
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| 内容記述タイプ | Abstract | |||||||||||||||||||
| 内容記述 | Background: Radical cystectomy (RC) is a standard-of-care treatment for muscle-invasive bladder cancer (MIBC). However, there is a lack of data comparing the benefit of robot-assisted radical cystectomy (RARC) with laparoscopic radical cystectomy (LRC) or open radical cystectomy (ORC) in Japan. We aimed to explore the safety of RARC compared with that of LRC or ORC using the Japanese National Clinical Database (NCD). Methods: This retrospective study reviewed the data of 17,549 patients with MIBC who underwent radical cystectomy between February 2019 and December 2022 in the Japanese NCD. We compared the postoperative complications within 30 days between the surgical procedures using the Clavien–Dindo classification. Multivariable logistic regression analysis was conducted for grade ≥ 3 postoperative complications. Results: Overall, 8308, 3101, and 6140 patients underwent RARC, LRC, and ORC, respectively. The rates of any grade and grade ≥ 3 postoperative complications within 30 days were significantly lower in the RARC group than in the ORC group. RARC had no significant difference in grade ≥ 3 postoperative complications in the ileal neobladder. Regarding any grade postoperative complications, RARC had a significantly lower rate of delirium, surgical site infection, sepsis, and gastrointestinal tract leakage than ORC. Multivariable logistic regression analysis revealed that the incidence of grade ≥ 3 postoperative complications was significantly lower in RARC (odds ratio, 0.83 | |||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 書誌情報 |
en : Cancer Medicine 巻 14, 号 15, p. e71109, 発行日 2025-08-02 |
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| 出版者 | Wiley | |||||||||||||||||||
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| 収録物識別子タイプ | EISSN | |||||||||||||||||||
| 収録物識別子 | 20457634 | |||||||||||||||||||
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| 関連タイプ | isVersionOf | |||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||
| 関連識別子 | https://doi.org/10.1002/cam4.71109 | |||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||
