The EAU guidelines panel on muscle-invasive and metastatic bladder cancer (MIBC) recently recommended open radical cystectomy (ORC) as the best surgical approach for MIBC patients. We critically re-examine the indications for considering ORC as the first choice over robot-assisted radical cystectomy. To the best of our knowledge, this is not supported by trials or meta-analyses.
European urology. 2020 Jul 28 [Epub ahead of print]
Francesco Montorsi, Marco Bandini, Alberto Briganti, Prokar Dasgupta, Andrea Gallina, Michele Gallucci, Inderbir S Gill, Khurshid A Guru, Ashok Hemal, Mani Menon, Marco Moschini, Declan G Murphy, Dipen J Parekh, Hiten D Patel, Hiten R H Patel, Michael Stöckle, Ash K Tewari, Carl J Wijburg, Peter Wiklund, Timothy G Wilson, Alexandre Mottrie, EAU Robotic Urology Section Scientific Working Group
Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy. Electronic address: ., Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy., MRC Centre for Transplantation, King's College London, Department of Urology, Guy's Hospital, London, UK., Department of Urology, Sapienza University, Rome, Italy., Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA., Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA., Department of Urology, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA., Henry Ford Health System, Detroit, MI, USA., Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy; Klinik für Urologie, Luzerner Kantonsspital, Lucerne, Switzerland., Division of Cancer Surgery, Peter MacCallum Cancer Centre, East Melbourne, Australia., Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA., The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Department of Urology, University Hospital of Northern Norway, Tromsø, Norway., University of the Saarland, Homburg Saar, Germany., Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Rijnstate Hospital, Arnhem, The Netherlands., Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden., John Wayne Cancer Institute, Santa Monica, CA, USA., Department of Urology, Onze Lieve Vrouw Hospital, Aalst, Belgium; ORSI Academy, Melle, Belgium.