How do the outcomes of laparoscopic and robot-assisted cystoprostatectomy compare to radical cystectomy?

Updated: Nov 27, 2016
  • Author: Michael Christopher Large, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

International experience with laparoscopic and robot-assisted cystoprostatectomy is emerging and is typically followed by urinary diversions performed through an extracorporeal midline abdominal incision measuring 6-10 cm. A recent literature review found that minimally invasive cystoprostatectomy is typically longer in duration, is associated with less blood loss (300-500 mL), and results in similar pathologic outcomes in terms of surgical margins and local recurrence rates (both rare). [20, 39, 40, 41] Because follow-up is generally short, data on outcomes such as oncologic efficacy (specifically in regard to local or nodal recurrences), longer-term complications, and functional status are lacking. However, the preliminary data suggest that ongoing investigation is warranted to study whether these approaches reliably provide perioperative, oncologic, and/or functional benefits. As of 2008, at least 700 of these surgeries have been performed worldwide.


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