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Robot-Assisted Radical Cystectomy Versus Open Radical Cystectomy

  • Vivek Venkatramani
  • Dipen J. Parekh
Chapter

Abstract

Radical cystectomy is suited to a minimally invasive approach, and robotic surgery holds the potential for improving perioperative morbidity compared with open surgery, without a compromise of oncological efficacy. Recent meta-analyses have shown that minimally invasive cystectomy is associated with lower morbidity, shorter length of stay, reduced blood loss and transfusion rates, less post-operative ileus and a reduced need for analgesics. The short and medium term oncological efficacy of robotic cystectomy has been shown to be equivalent to open surgery. However, larger studies with longer follow-up are needed in order to obtain higher levels of evidence.

Keywords

Radical cystectomy Minimally invasive Robotic surgery Complications Surgical margins Lymphadenectomy Oncological outcomes Quality of life Functional outcomes Recurrence patterns 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Miami – Miller School of MedicineMiamiUSA
  2. 2.Department of UrologyUniversity of Miami – Miller School of MedicineMiamiUSA

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