Muscle invasive bladder cancer is a lethal disease requiring aggressive treatment. The current standard of care for treatment is a radical cystectomy and urinary diversion. This procedure is curative for the majority of patients but the subsequent morbidity is well established. It was this high complication rate and prolonged patient convalescence that motivated urologic surgeons to develop minimally invasive techniques for radical cystectomy. This led to the first report of robot-assisted radical cystectomy a decade ago. Over the past 10 years, there has been increasing utilization of this procedure with dissemination into mainstream urologic practice. The goal of this chapter is provide a detailed description of a robot-assisted radical cystectomy and provide some technical insights from the authors’ cumulative experience to improve efficiency and avoid pitfalls. In addition, a brief review of some of the available data on this topic will be discussed.
KeywordsRadical cystectomy Urothelial carcinoma Robotic surgery Minimally invasive surgery Complications Extracorporeal urinary diversion