Robot-assisted surgical approach to bladder cancer: a decade of progress!
Robot-assisted radical cystectomy (RARC) has gained popularity and proven its efficacy, safety and reproducibility in the last decade. RARC has resulted in less blood loss, enhanced recovery, and shorter hospital stay. RARC has proven to have similar or better postoperative morbidity, mortality and equal oncologic, outcomes. Limiting factors to the acceptance of this surgical approach have included its steep learning curve and the lack of both long-term outcome data. This article systematically reviews the literature comparing the outcomes for RARC (comparisons with open radical cystectomy when performed at the same institution) with a focus on operative, complications, oncologic, functional and survival outcomes.
Urology Department Roswell Park Cancer Institute, Buffalo, NY, USA - khurshid.guru@roswellpark.org.
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Al-Tartir
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Raza
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Alotaibi
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Khan
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Hara
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Fujisawa
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Guru
D016063:Blood Loss, Surgical / Q000517:prevention & control; D015653:Cystectomy / Q000379:methods / Q000401:mortality / Q000639:trends*; D019317:Evidence-Based Medicine; D006801:Humans; D059032:Learning Curve; D007902:Length of Stay; D015203:Reproducibility of Results; D012307:Risk Factors; D065287:Robotic Surgical Procedures / Q000379:methods / Q000401:mortality / Q000639:trends*; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000401:mortality / Q000601:surgery*