Benefits of robotic cystectomy with intracorporeal diversion for patients with low cardiorespiratory fitness: A prospective cohort study

Lamb, Benjamin Wilfrid; Tan, Wei Shen; Eneje, Philip; Bruce, David;
Jones, Amy; Ahmad, Imran; Sridhar, Ashwin; Baker, Hilary; Briggs, Tim
P.; Hines, John E.; Nathan, Senthil; Martin, Daniel; Stephens, Robert
C.; Kelly, John D..

Urologic Oncology, September 2016, Vol. 34 Issue:
Number 9 p417.e17-417.e23, 7p;

Abstract: Patients undergoing radical
cystectomy have associated comorbidities resulting in reduced
cardiorespiratory fitness. Preoperative cardiopulmonary exercise
testing (CPET) measures including anaerobic threshold (AT) can predict
major adverse events (MAE) and hospital length of stay (LOS) for
patients undergoing open and robotic cystectomy with extracorporeal
diversion. Our objective was to determine the relationship between CPET
measures and outcome in patients undergoing robotic radical cystectomy
and intracorporeal diversion (intracorporeal robotic assisted radical
cystectomy [iRARC]).