Radical Cystectomy: Robotic, Laparoscopic, Open and Partial

  • James E. Ferguson
  • Raj S. Pruthi
  • Michael E. Woods
Chapter

Abstract

Open radical cystectomy (ORC) has evolved over the past 60 years and currently represents the gold standard for the treatment of muscle invasive bladder cancer. The utilization of robot-assisted radical cystectomy (RARC) has been steadily growing since 2003 with acceptable outcomes. The goal of this chapter is to assess peri- and post-operative outcomes of robot-assisted radical and partial cystectomy compared with open radical cystectomy for the treatment of bladder cancer. Most series report decreased blood loss, return of bowel function, and shorter length of stay, while complication rates have been shown to be similar to open series. Intermediate-term oncologic outcomes appear to be favorable, and several prospective, randomized trials comparing the two approaches are currently underway with recurrence free survival as the primary endpoint.

Keywords

Robotic surgery Radical cystectomy Bladder neoplasm Urothelial carcinoma Laparoscopy Outcomes 

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Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  • James E. Ferguson
    • 1
  • Raj S. Pruthi
    • 1
  • Michael E. Woods
    • 1
  1. 1.Division of Urology, Department of SurgeryUniversity of North CarolinaChapel HillUSA

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