Robotic Cystectomy

• Published in: Urologic clinics of North America Vol. 45; no. 2; pp. 183 - 188
• Main Authors: May, Danica, MD, Gills, Jessie, MD, Delacroix, Scott E., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2018
• Subjects: Cystectomy - instrumentation; Cystectomy - methods; Cystectomy - statistics & numerical data; Humans; Intracorporeal urinary diversion; Laparoscopic; Learning Curve; Radical cystectomy; Randomized Controlled Trials as Topic; Robotic; Robotic Surgical Procedures - statistics & numerical data; Urinary Bladder Neoplasms - surgery; Urology; Laparoscopic; Radical cystectomy; Robotic; Intracorporeal urinary diversion
• ISSN: 0094-0143; 1558-318X
• DOI: 10.1016/j.ucl.2017.12.012

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.