Robotic Cystectomy

Danica May; Jessie Gills; Scott E Delacroix Jr

doi:10.1016/j.ucl.2017.12.012

Robotic Cystectomy

Urol Clin North Am. 2018 May;45(2):183-188. doi: 10.1016/j.ucl.2017.12.012. Epub 2018 Feb 21.

Authors

Danica May¹, Jessie Gills², Scott E Delacroix Jr³

Affiliations

¹ Department of Urology, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, Room 547, New Orleans, LA 70112, USA.
² Department of Pl Urology, Louisiana State University Healthcare Network, 1542 Tulane Avenue, Room 547, New Orleans, LA 70112, USA. Electronic address: jgills@lsuhsc.edu.
³ Department of Pl Urology, Louisiana State University Healthcare Network, 1542 Tulane Avenue, Room 547, New Orleans, LA 70112, USA.

PMID: 29650134
DOI: 10.1016/j.ucl.2017.12.012

Abstract

Retrospective observational studies support the utility of robotic-assisted radical cystectomy (RARC). Randomized controlled trials (RCTs) have shown that RARC with extracorporeal urinary diversion may lead to decreased estimated blood loss, decreased rate of transfusion, similar oncologic outcomes, cost-effectiveness, and variable increased operative times. Although RCTs comparing RARC with open radical cystectomy are currently ongoing, it may be several years before the utility of RARC is known. The discussion on the role of cystectomy, indications, outcomes, care pathways, access to high-volume care centers, and efforts to decrease complications may prove as important as the technique itself.

Keywords: Intracorporeal urinary diversion; Laparoscopic; Radical cystectomy; Robotic.

Publication types

Review

MeSH terms

Cystectomy / instrumentation
Cystectomy / methods*
Cystectomy / statistics & numerical data
Humans
Learning Curve
Randomized Controlled Trials as Topic
Robotic Surgical Procedures* / statistics & numerical data
Urinary Bladder Neoplasms / surgery*