Robot-assisted radical cystectomy in the management of bladder cancer.
The application of robotic technology to laparoscopic surgery has the potential to revolutionize the entire field of urology. The use of robotic-assisted radical cystectomy has been demonstrated in the literature only within the past 3 years, as much of the reconstruction and urinary diversion techniques associated with radical cystectomy are considered more technically challenging than other procedures. Here we review the available literature pertaining to this procedure, which consists of a limited number of case reports, case series, and pilot or feasibility studies. While theses results seem to point towards less blood loss, lower transfusion rates, and shorter hospital stays compared to open radical cystectomy, definitive conclusions and recommendations cannot yet be made because of a lack of larger and/or prospective studies or randomized trials.
Keim
Jessica L
JL
Paul Mellon Prostate Cancer Institute and Department of Urology, University of Virginia Health Sciences Center, Charlottesville, VA, USA. jlk2t@virginia.edu
Theodorescu
Dan
D
D002986:Clinical Trials as Topic; D015653:Cystectomy / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009873:Operating Rooms; D012371:Robotics; D025321:Surgery, Computer-Assisted / Q000193:education* / Q000379:methods*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014572:Urology / Q000379:methods*