Abstract
Purpose
In this review, we aim to provide readers with a balanced understanding of all aspects of single incision robotic cystectomy (SIRC) and urinary diversion using the single-port (SP) robot. The review will trace the historical progression from open surgery to the introduction of minimally invasive approaches and present an in-depth description of the SIRC technique, offering a step-by-step guide for reference. Emphasis will be placed on indications and patient selection criteria to equip surgeons with well-rounded insights for decision-making.
Methods
The review analyzes preliminary surgical outcomes by drawing from existing literature and clinical experiences, endeavoring to present a balanced view of the potential benefits and limitations. Addressing the learning curve and training prerequisites is paramount, and this review explores strategies and challenges in preparing surgeons for proficiency. Finally, the focus shifts to current challenges and future directions, identifying key issues and potential advancements in the field.
Conclusions
By presenting historical context, technical insights, clinical evidence, and strategic foresight, the review aims to provide a comprehensive resource that engages surgeons, researchers, and trainees from diverse perspectives.
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Acknowledgements
This study was supported by Grant Number P30 CA015083 from the National Cancer Institute (NCI) and from the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery (M.D.T.), the Christian Haub Family Career Development Award for Cancer Research Honoring Dr. Richard Emslander (M.D.T.), Eric and Gail Blodgett (M.D.T.) and the Endras Family (M.D.T.).
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MDT: protocol/project development, data collection or management, data analysis, manuscript writing/editing.
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M.D. Tyson has no financial or other conflict of interest related to this study.
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This study is in compliance with the ethical standards established by the World Journal of Urology, including adherence to guidelines for research involving human and animal subjects, conflict of interest disclosures, and informed consent.
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Tyson, M.D. Single incision robotic cystectomy and urinary diversion. World J Urol 42, 45 (2024). https://doi.org/10.1007/s00345-023-04751-y
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DOI: https://doi.org/10.1007/s00345-023-04751-y