Comparison of minimally invasive versus open pelvic organ-preserving radical cystectomy in female patients with bladder cancer : a multicenter propensity score matching analysis
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..
PURPOSE: To compare the perioperative and oncologic outcomes between minimally invasive pelvic organ-preserving radical cystectomy (MIPOPRC) and open pelvic organ-preserving radical cystectomy (open POPRC) among female patients with bladder cancer (BCa).
METHODS: We identified female patients who underwent POPRC for BCa at three centers between January 2006 and April 2018. Female patients who underwent open POPRC were matched with those who underwent MIPOPRC using 1:1 propensity score (PS) matching. The patient demographics and perioperative and oncologic outcomes were evaluated for the comparison between MIPOPRC and open POPRC.
RESULTS: Among the 158 patients enrolled, 83 patients underwent MIPOPRC, and 75 underwent open POPRC. A total of 60 MIPOPRC and 60 open POPRC patients were matched successfully. The cancer-specific survival (CSS) and recurrence-free survival (RFS) did not differ significantly in the propensity score-weighted cohort (p = 0.297 and p = 0.600, respectively). Subgroup analysis by age and pathologic stage in the matched cohort revealed that CSS and RFS were with no differences among all subgroups. Moreover, multivariable Cox regression analyses showed that the surgical approach (MIPOPRC vs open POPRC) was not a predictor of CSS (p = 0.250).
CONCLUSION: MIPOPRC was non-inferior to open POPRC in terms of oncologic outcomes among female patients. MIPOPRC could be technically feasible in selected female patients with BCa.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:41 |
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| Enthalten in: |
World journal of urology - 41(2023), 2 vom: 29. Feb., Seite 501-508 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zhong, Wenlong [VerfasserIn] |
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| Links: |
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| Themen: |
Bladder cancer |
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| Anmerkungen: |
Date Completed 24.02.2023 Date Revised 27.03.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00345-022-04232-8 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM350931143 |
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| 100 | 1 | |a Zhong, Wenlong |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparison of minimally invasive versus open pelvic organ-preserving radical cystectomy in female patients with bladder cancer |b a multicenter propensity score matching analysis |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 24.02.2023 | ||
| 500 | |a Date Revised 27.03.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. | ||
| 520 | |a PURPOSE: To compare the perioperative and oncologic outcomes between minimally invasive pelvic organ-preserving radical cystectomy (MIPOPRC) and open pelvic organ-preserving radical cystectomy (open POPRC) among female patients with bladder cancer (BCa) | ||
| 520 | |a METHODS: We identified female patients who underwent POPRC for BCa at three centers between January 2006 and April 2018. Female patients who underwent open POPRC were matched with those who underwent MIPOPRC using 1:1 propensity score (PS) matching. The patient demographics and perioperative and oncologic outcomes were evaluated for the comparison between MIPOPRC and open POPRC | ||
| 520 | |a RESULTS: Among the 158 patients enrolled, 83 patients underwent MIPOPRC, and 75 underwent open POPRC. A total of 60 MIPOPRC and 60 open POPRC patients were matched successfully. The cancer-specific survival (CSS) and recurrence-free survival (RFS) did not differ significantly in the propensity score-weighted cohort (p = 0.297 and p = 0.600, respectively). Subgroup analysis by age and pathologic stage in the matched cohort revealed that CSS and RFS were with no differences among all subgroups. Moreover, multivariable Cox regression analyses showed that the surgical approach (MIPOPRC vs open POPRC) was not a predictor of CSS (p = 0.250) | ||
| 520 | |a CONCLUSION: MIPOPRC was non-inferior to open POPRC in terms of oncologic outcomes among female patients. MIPOPRC could be technically feasible in selected female patients with BCa | ||
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bladder cancer | |
| 650 | 4 | |a Female | |
| 650 | 4 | |a Minimally invasive surgery | |
| 650 | 4 | |a Open surgery | |
| 650 | 4 | |a Pelvic organ-preserving radical cystectomy | |
| 650 | 4 | |a Propensity score matching | |
| 700 | 1 | |a Li, Jibiao |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Libo |e verfasserin |4 aut | |
| 700 | 1 | |a Hong, Peng |e verfasserin |4 aut | |
| 700 | 1 | |a Cheng, Sida |e verfasserin |4 aut | |
| 700 | 1 | |a Xia, Kun |e verfasserin |4 aut | |
| 700 | 1 | |a He, Wang |e verfasserin |4 aut | |
| 700 | 1 | |a Hao, Han |e verfasserin |4 aut | |
| 700 | 1 | |a Ma, Lulin |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Xuesong |e verfasserin |4 aut | |
| 700 | 1 | |a Zhou, Liqun |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Tianxin |e verfasserin |4 aut | |
| 700 | 1 | |a Huang, Jian |e verfasserin |4 aut | |
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