title: [Radical cystectomy - pro robotic].
abstract: The standard therapy for muscle invasive bladder cancer is radical cystectomy and urinary diversion. For open surgery this procedure has notable perioperative morbidity. Performing laparoscopic cystectomy can reduce this morbidity. So far it remains unclear, whether the oncologic outcome of the laparoscopic approach is comparable to open surgery or not due to a lack of long-term follow-up data. Important surgical steps, such as extended lymphadenectomy, sparing of the neurovascular bundle for preservation of potency, preparation of the urethra for orthotopic neobladder and intracorporeal construction of a urinary diversion can be achieved much more easily with a robot-assisted approach than with conventional laparoscopy. Furthermore, the learning curve for robot-assisted cystectomy is much steeper. Therefore, if a laparoscopic cystectomy is performed, it should be performed using a robot-assisted approach.
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum des Saarlandes, Kirrberger Straße 1, 66421 Homburg/Saar, Deutschland. joern.kamradt@uks.eu
authors.forename: J
authors.initials: J
authors.lastname: Kamradt
authors.forename: M
authors.initials: M
authors.lastname: Saar
authors.forename: C
authors.initials: C
authors.lastname: Ohlmann
authors.forename: S
authors.initials: S
authors.lastname: Siemer
authors.forename: M
authors.initials: M
authors.lastname: Stöckle
mesh_terms: D015653:Cystectomy / Q000639:trends*; D006801:Humans; D010535:Laparoscopy / Q000639:trends*; D019060:Minimally Invasive Surgical Procedures / Q000639:trends*; D019651:Plastic Surgery Procedures / Q000639:trends*; D012371:Robotics / Q000639:trends*; D025321:Surgery, Computer-Assisted / Q000639:trends*