Abstract
The feasibility of robotic radical cystectomy has been established. Given the advanced age of presentation, a thorough evaluation, involving cancer staging, review of medical history, and physical examination, is of utmost importance. Contraindications are similar to any laparoscopic surgery but special attention should be taken to underlying pulmonary disease. Mechanical bowel preparation is no longer considered necessary nor is the routine use of postoperative nasogastric tube use. Standardized postoperative pathways can possibly reduce hospital stay and morbidity.
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National Cancer Institute. SEER stat fact sheets: bladder. http://www.seer.cancer.gov/csr/1975_2009_pops09. Accessed May 2012.
Kim SP, Boorjian SA, Shah ND, Karnes RJ, Weight CJ, Moriarty JP, et al. Contemporary trends of in-hospital complications and mortality for radical cystectomy. BJU Int. 2012;110:1163–8. doi:10.1111/j. 1464-410X. 2012.10990.x.
Kibel AS, Dehdashti F, Katz MD, Klim AP, Grubb RL, Humphrey PA, et al. Prospective study of [18F]fluorodeoxyglucose positron emission tomography/computed tomography for staging of muscle-invasive bladder carcinoma. J Clin Oncol. 2009;27(26):4314–20.
Grossman HB, Natale RB, Tangen CM, Speights VO, Vogelzang NJ, Trump DL, et al. Neoadjuvant chemotherapy plus cystectomy compared with cystectomy alone for locally advanced bladder cancer. N Engl J Med. 2003;349(9):859–66.
Gutt CN, Oniu T, Mehrabi A, Schemmer P, Kashfi A, Kraus T, et al. Circulatory and respiratory complications of carbon dioxide insufflation. Dig Surg. 2004;21(2):95–105.
World Health Organization Consensus Conference on Bladder Cancer, Hautmann RE, Abol-Enein H, Hafez K, Haro I, Mansson W, et al. Urinary diversion. Urology. 2007;69(1):17–49.
Gregg JR, Cookson MS, Phillips S, Salem S, Chang SS, Clark PE, et al. Effect of preoperative nutritional deficiency on mortality after radical cystectomy for bladder cancer. J Urol. 2011;185(1):90–6.
Theadom A, Cropley M. Effects of preoperative smoking cessation on the incidence and risk of intraoperative and postoperative complications in adult smokers: a systematic review. Tob Control. 2006;15(5):352–8.
Shafii M, Murphy DM, Donovan MG, Hickey DP. Is mechanical bowel preparation necessary in patients undergoing cystectomy and urinary diversion? BJU Int. 2002;89(9):879–81.
Bucher P, Mermillod B, Gerva P, Morel P. Mechanical bowel preparation for elective colorectal surgery: a meta-analysis. Arch Surg. 2004;139:1359–64.
Raynor MC, Lavien G, Nielsen M, Wallen EM, Pruthi RS. Elimination of preoperative mechanical bowel preparation in patients undergoing cystectomy and urinary diversion. Urol Oncol. 2013;31:32–5.
Wolf JS, Bennett, CJ, Dmochowski RR, Hollenbeck BK, Pearle MS, et al. Best practice policy statement on urologic surgery antimicrobial prophylaxis. American Urologic Association. 2008. http://www.auanet.org/content/clinical-practice-guidelines/clinical-guidelines.cfm#2. Accessed May 2012.
Nelson R, Edwards S, Tse B. Prophylactic nasogastric decompression after abdominal surgery. Cochrane Database Syst Rev 2007;(3):CD004929.
Inman BA, Harel F, Tiguert R, Lacombe L. Routine nasogastric tubes are not required following cystectomy with urinary diversion: a comparative analysis of 430 patients. J Urol. 2003;170(5):1888–91.
Pruthi RS, Chun J, Richman M. Reducing time to oral diet and hospital discharge in patients undergoing radical cystectomy using a perioperative care plan. Urology. 2003;62(4):661–5.
Maffezzini M, Campodonico F, Canepa G, Gerbi G, Parodi D. Current perioperative management of radical cystectomy with intestinal urinary reconstruction for muscle-invasive bladder cancer and reduction of the incidence of postoperative ileus. Surg Oncol. 2008;17(1):41–8.
Pruthi RS, Nielsen M, Smith A, Nix J, Schultz H, Wallen EM. Fast track program in patients undergoing radical cystectomy: results in 362 consecutive patients. J Am Coll Surg. 2010;210(1):93–9.
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Holzbeierlein, J., Griffin, J.G. (2014). Preoperative Preparation and Care. In: Castle, E., Pruthi, R. (eds) Robotic Surgery of the Bladder. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4906-5_5
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DOI: https://doi.org/10.1007/978-1-4614-4906-5_5
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