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Volume 6, Pages 2560-2565
Review Article

Robot-Assisted Radical Cystectomy in the Management of Bladder Cancer

Paul Mellon Prostate Cancer Institute and Department of Urology, University of Virginia Health Sciences Center, Charlottesville, VA, USA

Received 28 November 2005; Revised 18 March 2006; Accepted 20 March 2006

Academic Editor: William D. Steers

Copyright © 2006 Jessica L. Keim and Dan Theodorescu.


The application of robotic technology to laparoscopic surgery has the potential to revolutionize the entire field of urology. The use of robotic-assisted radical cystectomy has been demonstrated in the literature only within the past 3 years, as much of the reconstruction and urinary diversion techniques associated with radical cystectomy are considered more technically challenging than other procedures. Here we review the available literature pertaining to this procedure, which consists of a limited number of case reports, case series, and pilot or feasibility studies. While theses results seem to point towards less blood loss, lower transfusion rates, and shorter hospital stays compared to open radical cystectomy, definitive conclusions and recommendations cannot yet be made because of a lack of larger and/or prospective studies or randomized trials.