Comparative Analysis of Open versus Laparoscopic Radical Cystectomy: A Retrospective Study from Two Tertiary Urology Centers in the Balkans

Abstract

Author(s): Bashkim Shabani, Dr. Donat Cuni, Dr. Xhevdet Cuni, Dr. Flatra Fetahi* and Edi Cuni

Background: Radical cystectomy remains the gold standard treatment for muscleinvasive bladder cancer. Minimally invasive approaches such as laparoscopic radical cystectomy (LRC) have gained popularity; however, their comparative effectiveness with open radical cystectomy (ORC) remains debated. Objective: To compare perioperative outcomes between ORC and LRC performed at two tertiary urology centers. Methods: In this retrospective analysis, all patients who underwent open radical cystectomy (ORC) or laparoscopic radical cystectomy (LRC) at our clinics during a three-year period were evaluated. Thirty-two patients underwent ORC in Prishtina, while eleven underwent LRC in Skopje. Demographic data and perioperative outcomes were analyzed. Results: The ORC group demonstrated shorter operative time (256 ± 30 min vs. 346.36 ± 24.60 min). LRC was associated with shorter hospital stay (5 vs. 8 days) and faster bowel recovery. Intraoperative blood loss was lower in ORC (300 ml vs. 472.72 ± 87.64 ml). No significant life-threatening complications were observed in either group. Conclusion: ORC remains a reliable approach with shorter operative time, while LRC offers advantages in postoperative recovery. Outcomes largely depend on surgical expertise and adherence to enhanced recovery protocols.

Share this article