Robot-assisted radical cystectomy and urinary diversion: technical recommendations from the Pasadena Consensus Panel

Area of Science:

• Urology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Robot-assisted radical cystectomy (RARC) has undergone significant evolution over the past decade.
• High-volume centers have reported standardized RARC techniques, refinements, and outcomes.

Framework:

• The Pasadena Consensus Panel convened to review RARC and urinary reconstruction literature.
• Expert panel reviewed existing peer-reviewed literature to establish best practice recommendations.

Implementation:

• Surgical techniques for RARC in men and women were extensively reviewed.
• Extracorporeal and intracorporeal urinary diversion techniques were critically assessed.
• Key aspects of RARC surgical technique are described.

Implications:

• RARC and urinary diversion refinements ensure safety, reproducibility, and oncologic soundness.
• Preoperative, operative, and postoperative measures in RARC align with open surgery standards.
• This review provides critical insights into RARC and urinary reconstruction best practices.