Robotic-Assisted Radical Cystectomy.
BACKGROUND
The application and use of robotics during radical cystectomy for the treatment of bladder cancer are still being defined.


METHODS
A systematic literature search was conducted, with an emphasis on studies published within the previous 5 years. Areas of interest included patient selection, outcomes, cost, and comparisons of robotic-assisted radical cystectomy to open surgery.


RESULTS
Although data are lacking in this field, using robotic assistance for radical cystectomy may lead to improvements in estimated blood loss, time to bowel activity, and reduced hospital stay; however, these improvements come at the cost of increased operative time and have a learning curve.


CONCLUSIONS
The widespread adoption of robotic-assisted radical cystectomy has not gained acceptance due to lack of evidence and clinical trials showing superiority over open surgery.
Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL 33612, USA. Michael.Poch@Moffitt.org.
Adam M
AM
Luchey
Gautum
G
Agarwal
Michael A
MA
Poch
D015653:Cystectomy / Q000379:methods*; D006801:Humans; D065287:Robotic Surgical Procedures / Q000379:methods*; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*