title: Systematic review of perioperative outcomes and complications after open, laparoscopic and robot-assisted radical cystectomy.
abstract: Radical cystectomy and regional lymph node dissection is the standard treatment for localized muscle-invasive and for high-risk non-muscle-invasive bladder cancer, and represents one of the main surgical urologic procedures. The open surgical approach is still widely adopted, even if in the last two decades efforts have been made in order to evaluate if minimally invasive procedures, either laparoscopic or robot-assisted, might show a benefit compared to the standard technique. Open radical cystectomy is associated with a high complication rate, but data from the laparoscopic and robotic surgical series failed to demonstrate a clear reduction in post-operative complication rates compared to the open surgical series. Laparoscopic and robotic radical cystectomy show a reduction in blood loss, in-hospital stay and transfusion rates but a longer operative time, while open radical cystectomy is typically associated with a shorter operative time but with a longer in-hospital admission and possibly a higher rate of high grade complications.
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia.
authors.forename: A
authors.initials: A
authors.lastname: Palazzetti
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia. Electronic address: rafaelsanchezsalas.imm@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Sanchez-Salas
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia.
authors.forename: P
authors.initials: P
authors.lastname: Capogrosso
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia.
authors.forename: E
authors.initials: E
authors.lastname: Barret
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia.
authors.forename: N
authors.initials: N
authors.lastname: Cathala
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia.
authors.forename: A
authors.initials: A
authors.lastname: Mombet
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia.
authors.forename: D
authors.initials: D
authors.lastname: Prapotnich
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia.
authors.forename: M
authors.initials: M
authors.lastname: Galiano
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia.
authors.forename: F
authors.initials: F
authors.lastname: Rozet
authors.affiliation: Departamento de Urología, L'Institute Mutualiste Montsouris, París, Francia.
authors.forename: X
authors.initials: X
authors.lastname: Cathelineau
mesh_terms: D015653:Cystectomy / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D065287:Robotic Surgical Procedures / Q000009:adverse effects*; D016896:Treatment Outcome
keywords: Cistectomía radical; Complicaciones; Complications; Laparoscopia; Laparoscopy; Perioperative outcomes; Radical cystectomy; Resultados perioperatorios; Robotic; Robótica