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Current evidence for robotic surgery in radical cystectomy
Chi Hang Yee1, Jeremy Yuen-Chun1, Eddie Shu-Yin Chan1
1Department of Surgery, S.H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong.
Turkish Journal of Urology
|September 25, 2020
Summary
Robotic-assisted radical cystectomy (RARC) shows similar cancer outcomes to open surgery for bladder cancer. Further research is needed on long-term results and complication rates for RARC and intracorporeal urinary diversion.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Robotic-assisted radical cystectomy (RARC) is an emerging alternative to open radical cystectomy (ORC) for invasive bladder cancer.
- While RARC shows benefits like reduced blood loss and shorter hospital stays, its overall complication rate compared to ORC needs more study.
Purpose of the Study:
- To compare the oncologic outcomes and complication rates of RARC versus ORC.
- To evaluate the role of intracorporeal urinary diversion (ICUD) versus extracorporeal urinary diversion (ECUD) in RARC.
Main Methods:
- Comparative analysis of RARC and ORC procedures for bladder cancer.
- Review of oncologic outcomes including surgical margins, disease-free survival, and overall survival.
- Assessment of complication rates and urinary diversion techniques (ICUD vs. ECUD).
Main Results:
- RARC and ORC demonstrate comparable oncologic outcomes, including positive surgical margin rates, disease-free survival, and overall survival.
- Intracorporeal urinary diversion (ICUD) may reduce the risk of ureteroileal anastomotic stricture compared to extracorporeal urinary diversion (ECUD).
- Overall complication rates between RARC and ORC require further investigation.
Conclusions:
- RARC offers promising results for bladder cancer management with similar oncologic outcomes to ORC.
- Long-term data and functional outcomes are essential to fully establish the role of RARC and ICUD.
