Robotic Cystectomy

Retrospective observational studies support the utility of robotic-assisted radical cystectomy (RARC). Randomized controlled trials (RCTs) have shown that RARC with extracorporeal urinary diversion may lead to decreased estimated blood loss, decreased rate of transfusion, similar oncologic outcomes, cost-effectiveness, and variable increased operative times. Although RCTs comparing RARC with open radical cystectomy are currently ongoing, it may be several years before the utility of RARC is known. The discussion on the role of cystectomy, indications, outcomes, care pathways, access to high-volume care centers, and efforts to decrease complications may prove as important as the technique itself.

The Urologic clinics of North America. 2018 Feb 21 [Epub]

Danica May, Jessie Gills, Scott E Delacroix

Department of Urology, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, Room 547, New Orleans, LA 70112, USA., Department of Pl Urology, Louisiana State University Healthcare Network, 1542 Tulane Avenue, Room 547, New Orleans, LA 70112, USA. Electronic address: ., Department of Pl Urology, Louisiana State University Healthcare Network, 1542 Tulane Avenue, Room 547, New Orleans, LA 70112, USA.

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