FERHAT YAKUP SUÇEKEN, MURAT BEYATLI, ALİ SELİM DURMAZ, ÖMER FARUK ÖRNEK, AHMET TAHRA, ALİ KUMCU, EYÜP VELİ KÜÇÜK
Anatolian Journal of General Medical Research - 2025;35(1):59-64
OBJECTIVE Radical cystectomy (RC) can be performed using many methods. In this study, we compared the results of open RC and laparoscopic radical cystectomy (LRC) among patients with bladder cancer in our clinic. METHODS Between 2019 and 2023, 64 patients who underwent ORC and 32 patients who underwent LRC were included in the study. Demographic, preoperative, intraoperative, and postoperative data of the patients were retrospectively reviewed and compared. RESULTS There was no statistical difference between the two groups in terms of age, gender, and body mass index. In terms of total operation time and diversion time, the ORC group had significantly shorter operation times than the LRC group (p<0.001). Normal bowel function was observed in 1±0.2 days in LRC and 1.3±0.4 days in ORC, and this period was shorter in LRC (p<0.001). The duration of oral fluid intake was shorter in the LRC group (p=0.008). The length of hospital stay (LOS) was 16.7±9.9 days in the ORC group and 9.8±5 days in the LRC group and was significantly longer (p<0.001). There were no differences between the groups in terms of complications. CONCLUSION LRC is superior in terms of LOS, oral intake, and bowel function, whereas ORC is superior in terms of surgical duration.
