Robotic-Assisted radical cystectomy

Abstract

Robotic-assisted radical cystectomy (RARC) is an evolving procedure which combines the minimally invasive benefits of laparoscopy and the enhanced dexterity and vision of robotics. Over 150 of these have been performed world-wide in selected centers. Although the blood loss, hospital stay, and recovery are shorter than open surgery, operative times are longer. In nonrandomized comparisons, the complications appear to be lower than open and laparoscopic radical cystectomy. Actuarial and recurrence-free survivals at 3.5 years are 95 and 90%, respectively. A single port site recurrence has been reported. © 2008 Springer-Verlag London.