Robot-assisted radical cystectomy: surgical technique, perioperative and oncologic outcomes

Curr Opin Urol. 2022 Jan 1;32(1):116-122. doi: 10.1097/MOU.0000000000000953.

Abstract

Purpose of review: Radical cystectomy is a complex procedure that encompasses surgery involving the urinary, gastrointestinal tracts and the retroperitoneum, with significant morbidity. Robot-assisted radical cystectomy (RARC) has been introduced to improve perioperative outcomes.

Recent findings: It has been shown to provide equivalent oncologic outcomes to open radical cystectomy while providing some benefits in terms of perioperative outcomes. A complete intracorporeal approach utilizing intracorporeal urinary diversion may potentially offer additional benefits.

Summary: Herein, we describe our technique for RARC and intracorporeal urinary diversion, as well as a review of oncologic and perioperative outcomes.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cystectomy / adverse effects
  • Cystectomy / methods
  • Female
  • Humans
  • Male
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Robotic Surgical Procedures* / adverse effects
  • Robotic Surgical Procedures* / methods
  • Robotics*
  • Treatment Outcome
  • Urinary Bladder Neoplasms* / surgery
  • Urinary Diversion* / adverse effects
  • Urinary Diversion* / methods