title: Current status and outcomes of robot-assisted laparoscopic radical cystectomy and urinary diversion.
abstract: Robot-assisted laparoscopic radical cystectomy (RARC) has emerged as a viable treatment option for patients with muscle-invasive bladder cancer and select patients with high-risk nonmuscle invasive disease. Operative, perioperative, and intermediate-term oncologic outcomes for RARC from multiple single-institution reports and from multi-institutional studies appear promising. Long-term oncologic outcomes for RARC should be forthcoming in the years ahead. As technology improves, total intracorporeal urinary diversion may become easier to perform and less time-consuming. This article aims to review the most recent developments within the past 1 to 2 years surrounding RARC, important technical nuances for performing this operation, and the future direction of RARC.
authors.affiliation: Department of Urology, Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157, USA.
authors.forename: Kyle A
authors.initials: KA
authors.lastname: Richards
authors.forename: Ashok K
authors.initials: AK
authors.lastname: Hemal
mesh_terms: D015653:Cystectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012371:Robotics; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*