Intraoperative Cell Salvage During Radical Cystectomy Does Not Affect Long-Term Survival

Alan M. Nieder, Murugesan Manoharan, Yulong Yang, Mark S. Soloway

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

Objectives: To evaluate the risk of long-term recurrence for patients who received cell-salvaged blood during radical cystectomy (RC). Methods: We retrospectively analyzed an RC database and compared those who did and did not receive cell-salvaged blood according to baseline parameters, pathologic outcomes, and recurrence. Results: A total of 378 patients underwent RC between 1992 and 2005 by one surgeon. Of these, 65 (17.2%) received cell-salvaged blood and 313 (82.8%) did not. The two groups had similar baseline characteristics. There were no differences between the two groups when compared by pathologic stage. The median follow-up for patients who did and did not receive cell-salvaged blood was 19.1 and 20.7 months, respectively (P = 0.464). The 3-year disease-specific survival rate for the two groups was 72.2% and 73.0%, respectively (P = 0.90). Conclusions: Intraoperative cell salvage is a safe blood management strategy for patients undergoing RC. There is no increased risk of metastatic disease or death for those who receive cell-salvaged blood. Concerns about spreading tumors cells by IOCS during RC would seem unwarranted. However, only a prospective, multicenter, randomized trial would provide the most valid assessment of the safety of IOCS.

Original languageEnglish (US)
Pages (from-to)881-884
Number of pages4
JournalUrology
Volume69
Issue number5
DOIs
StatePublished - May 1 2007

ASJC Scopus subject areas

  • Urology

Fingerprint Dive into the research topics of 'Intraoperative Cell Salvage During Radical Cystectomy Does Not Affect Long-Term Survival'. Together they form a unique fingerprint.

  • Cite this