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- W2145384416 abstract "We have come a long way since the early days of robotassisted radical cystectomy (RARC). Early reports of this procedure were dominated by tenuous claims of its feasibility under the cloak of very long operative times and concerns about oncologic equivalence when compared with open radical cystectomy (ORC). Unlike discussions about the role of robot-assisted versus open radical prostatectomy (RP), the stakes are much higher when evaluating the impact of robot-assisted surgery on the management of muscle-invasive bladder cancer. This is a disease with disappointing 5-yr survival outcomes following radical cystectomy, with minimal progress seen in survival over the past half-century, and with quite serious perioperative morbidity. Many prostatectomists who are expert in robot-assisted RP preferred not to embrace RARC, instead offering a high-quality ORC to these patients at high risk of a poor cancer outcome. However, since then, a number of high-volume centres have demonstrated that RARC is feasible and safe with oncologic outcomes comparable to those achieved using an open surgical approach [1]. Complication rates remain considerable, although it appears that blood loss is lower using a robot-assisted approach, and operative times in larger series are certainly now acceptable. In expert hands, extended pelvic lymph node dissection is providing high yields, positive surgical margin rates are acceptable, and longer-term outcomes are demonstrating that patients are not sacrificing their cancer outcome for the sake of a minimally invasive approach. So if we accept that at least from an oncologic perspective, the bladder, including adjacent organs and pelvic lymph nodes, can be safely and adequately resected" @default.
- W2145384416 created "2016-06-24" @default.
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- W2145384416 date "2013-11-01" @default.
- W2145384416 modified "2023-09-27" @default.
- W2145384416 title "Robotic Radical Cystectomy with Intracorporeal Neobladder: Ready for Prime Time?" @default.
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- W2145384416 doi "https://doi.org/10.1016/j.eururo.2013.06.032" @default.
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