[Laparoscopic cystectomy-urinary diversion with robotic assistance : which future ?]

Area of Science:

• Urology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Radical cystectomy is associated with significant patient morbidity.
• Minimally invasive approaches are needed to improve outcomes.
• Robotic surgery emerged 15 years ago, offering potential for less invasive procedures.

Purpose of the Study:

• To review the technical progression and current standardization of robotic-assisted radical cystectomy.
• To assess the current state of minimally invasive cystectomy-urinary diversion.

Main Methods:

• Review of technical advancements in robotic cystectomy over the past 15 years.
• Analysis of the standardization of intra-corporeal urinary diversion techniques.

Main Results:

• Laparoscopic and robotic cystectomy techniques have progressed sporadically but are now optimally standardized.
• The procedure can now be performed entirely intra-corporeally.
• Robotic cystectomy remains technically challenging.

Conclusions:

• Robotic-assisted radical cystectomy has evolved into a standardized, entirely intra-corporeal procedure.
• Given its high technical difficulty, robotic cystectomy requires specialized surgical expertise and ongoing training to maintain performance.