Abstract
Introduction
Numerous case series of robot-assisted radical cystectomy have emerged which describe complication rates comparable to open series. However, various reports have outlined preoperative factors as predictors of postoperative complications. Understanding these factors and the methods to optimize the perioperative care of the robotic cystectomy patient is essential for successful outcomes.
Methods
In this topic paper, we briefly review the literature surrounding complication rates following robot-assisted radical cystectomy as well as describe our experience after >250 cases, outlining our suggestions for avoidance of surgical complications when building a practice that incorporates this technique.
Results
Due to numerous variables, there are a number of intra-operative considerations, including patient selection, perioperative care pathway, intra-operative technique, and equipment choice that we have found to decrease post-operative complications and improve patient outcomes.
Conclusion
Through careful patient selection, use of appropriate equipment and perioperative surgical management, robotic cystectomy is a feasible procedure with excellent perioperative results.
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Acknowledgments
The project described was supported by the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, through Grant KL2TR000084. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
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The authors declare that they have no conflict of interest.
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Smith, A.B., Woods, M.E., Raynor, M.C. et al. Prevention and management of complications following robot-assisted radical cystectomy: lessons learned after >250 consecutive cases. World J Urol 31, 441–446 (2013). https://doi.org/10.1007/s00345-012-1007-x
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DOI: https://doi.org/10.1007/s00345-012-1007-x