Robot-assisted laparoscopic radical cystectomy for bladder cancer

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

The aim of this study is to review the current status of robot-assisted laparoscopic radical cystectomy for treatment of bladder cancer. Radical cystectomy with urinary diversion is the mainstay of surgical management for localized invasive bladder cancer. Minimally invasive surgery has become more common in all realms of surgery. Robotic surgery is a new and emerging frontier in the field of urology and has tremendous potential for future progress. Advantages of robot-assisted laparoscopic radical cystectomy include minimal blood loss, shorter hospital stay, quicker recovery, and, possibly, more precise and rapid removal of the bladder. Urinary diversions are performed extracorporeally via a small incision, as intracorporeal diversion requires a long operative time with associated morbidity and other complications. Short-term oncologic follow-up data is satisfactory. However, due to limited availability of data on lymph node yield using a robot-assisted approach, the technical feasibility of robotassisted lymph node dissection, as well as its ability to provide oncological control equivalent to open pelvic lymph node dissection, is controversial. In addition, its effect on health-related quality of life remains unclear. Therefore, controlled clinical trials and comparisons from various centers are needed. We are encouraged by the progress in bladder cancer management.

Original languageEnglish
Title of host publicationBladder Cancer
Subtitle of host publicationEtymology, Diagnosis, and Treatments
PublisherNova Science Publishers, Inc.
Pages153-172
Number of pages20
ISBN (Electronic)9781611229431
ISBN (Print)9781617280023
StatePublished - 1 Jan 2010

Bibliographical note

Publisher Copyright:
© 2010 Nova Science Publishers, Inc.

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