Care of the patient undergoing radical cystectomy with a robotic approach.
Radical cystectomy or cystoprostatectomy with urinary diversion is the gold standard for the treatment of muscle-invasive bladder cancer. Cystectomy can be through an open or robotic-assisted laparoscopic approach. Advances in laparoscopy, robotic surgery, and urological oncology have made it possible for select surgeons to perform nerve-sparing robotic-assisted laparoscopic radical cystoprostatectomy. Advantages of robotic surgery may be minimal blood loss, shorter hospital stay, quicker recovery, and possibly more precise and rapid removal of the bladder depending on the experience and expertise of the surgeon. Appropriate patient selection and thorough pre-operative evaluation, however, are key in maximizing positive surgical outcomes. The experience at the University of Virginia with robotic-assisted laparoscopic radical cystectomy will be discussed.
Overstreet
Dana L
DL
The University of Virginia, Charlottesville, USA.
Sims
Terran Warren
TW
D016063:Blood Loss, Surgical; D002983:Clinical Competence; D015653:Cystectomy / Q000009:adverse effects / Q000379:methods / Q000451:nursing*; D003558:Cystoscopy / Q000009:adverse effects / Q000379:methods / Q000451:nursing*; D006804:Ergonomics; D006801:Humans; D007374:Interior Design and Furnishings; D007902:Length of Stay; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010347:Patient Care Planning; D018579:Patient Selection; D019990:Perioperative Care / Q000379:methods / Q000451:nursing*; D013527:Perioperative Nursing / Q000379:methods; D011468:Prostatectomy; D012371:Robotics / Q000379:methods; D013997:Time Factors; D001749:Urinary Bladder Neoplasms / Q000451:nursing / Q000473:pathology / Q000601:surgery*; D014547:Urinary Diversion; D014768:Virginia