title: Robotic-assisted radical cystectomy.
abstract: OBJECTIVE
  To evaluate the emerging role of robotic-assisted radical cystectomy (RARC) in the management of bladder cancer.
  
  
  METHODS
  Review of the published literature on robotic-assisted radical cystectomy, including data from our cystectomy series of 30 patients.
  
  
  RESULTS
  Nearly 150 procedures have been performed worldwide. The benefits of robotic-assisted operations are similar to those of laparoscopically-performed procedures. RARC appears to be technically safe, oncologically and functionally equivalent to open (ORC) and laparoscopic radical cystectomy (LRC). However, RARC offers superior ergonomics and better vision. These benefits come at extra initial capital expenditure and subsequent higher maintenance costs.
  
  
  CONCLUSIONS
  With the rapid spread of robotics, it is likely that RARC will become the standard of care in units with access to the technology.
authors: Department of Urology, King's College School of Medicine, Guy's & Thomas' NHS Foundation Trust, London, UK. shamim.khan@gstt.nhs.uk <shamim.khan@gstt.nhs.uk>
authors: Mohammad Shamim
authors: MS
authors: Khan
authors: Shahzad Saleem
authors: SS
authors: Shah
authors: Ashok
authors: A
authors: Hemel
authors: Peter
authors: P
authors: Rimington
authors: Prokar
authors: P
authors: Dasgupta
mesh_terms: D015653:Cystectomy / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D012371:Robotics / Q000295:instrumentation* / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000295:instrumentation* / Q000379:methods*; D013673:Technology Assessment, Biomedical; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000601:surgery*