Robotic Cystectomy: Increasing Trends and Postoperative Complications in England from 2013 to 2019

What is it about?

The study analyzed data from 12,644 Radical Cystectomies in England from 2013-2019, utilizing national Hospital Episode Statistics (HES) from NHS England. The number of Robotic assisted radical cystectomies increased from 10.8% in 2013-2014 to 39.5% in 2018-2019, while the average length of stay reduced from 12.3 to 10.8 days for RARC and from 16.2 to 14.3 days for ORC. The rate of sepsis, acute renal failure, and fever were higher for ORC than RARC. The rate of sepsis, infections, UTI, and fever in the non-conduit group were significantly higher than the conduit group. There was a significant increase in the number of RC being performed robotically from 2013-2014 to 2018-2019, and the proportion of ORC procedures fell from 79.1% in 2013-2014 to 54% in 2018-2019. The data confirms the need to develop strategies with enhanced recovery protocols and post-operative close monitoring following Radical Cystectomy to reduce post-operative complications.

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Why is it important?

This research evaluates the data of 12,644 Radical Cystectomies in England using national Hospital Episode Statistics (HES) from NHS England. The study found a statistically significant increase in the number of Robotic assisted radical cystectomies from 10.8% in 2013-2014 to 39.5% in 2018-2019. The average length of stay (LOS) reduced from 12.3 to 10.8 days for RARC and from 16.2 to 14.3 days for ORC between the first and last time period. The rate of sepsis, acute renal failure (ARF), and critical care activity increased over the years, with higher rates in ORC than RARC. The study also found that the robotic approach has increased in the last five years with nearly 40% of the cystectomies now being robotically assisted. The research highlights the need to develop strategies with enhanced recovery protocols and post-operative close monitoring following Radical Cystectomy in order to reduce post-operative complications. Key Takeaways: 1. The number of Robotic assisted radical cystectomies has increased significantly from 10.8% in 2013-2014 to 39.5% in 2018-2019. 2. The average length of stay reduced for both RARC and ORC between the first and last time period. 3. The rate of sepsis, ARF, and critical care activity increased over the years, with higher rates in ORC than RARC. 4. The robotic approach has increased in the last five years with nearly 40% of the cystectomies now being robotically assisted. 5. The research highlights the need to develop strategies with enhanced recovery protocols and post-operative close monitoring following Radical Cystectomy to reduce post-operative complications.