Robot-Assisted and Open Radical Cystectomy: Comparative Analysis of Results

Abstract

Radical cystectomy (RC) remains the main method of surgical treatment of patients with muscle-invasive bladder cancer. Currently, in case of radical cystectomy, along with the open, robot-assisted access is actively used. This review presents an analysis of the main results of a robot-assisted RC (RARC), which are compared with those after an open RC. Perioperative parameters, functional and oncological results of robot-assisted and open RC were evaluated. According to the data obtained, it was found that with robot-assisted access there is a low volume of blood loss and a percentage of blood transfusion, but a high cost and a long operation time. In addition, there was no significant difference in the daytime and nighttime continence, and the quality of life of patients, as well as oncologic results between the two procedures. Further accumulation of experience allows us to improve the oncological and functional results of the robot-assisted RC, as well as to reduce the number of postoperative complications, high degree according to Clavien-Dindo grade especially.