World Journal of Urology

, Volume 31, Issue 3, pp 441–446

Prevention and management of complications following robot-assisted radical cystectomy: lessons learned after >250 consecutive cases

  • Angela B. Smith
  • Michael E. Woods
  • Mathew C. Raynor
  • Matthew E. Nielsen
  • Eric M. Wallen
  • Raj S. Pruthi
Topic paper

DOI: 10.1007/s00345-012-1007-x

Cite this article as:
Smith, A.B., Woods, M.E., Raynor, M.C. et al. World J Urol (2013) 31: 441. doi:10.1007/s00345-012-1007-x

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.

Keywords

Robotic Cystectomy Bladder cancer Complications Outcomes 

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Angela B. Smith
    • 1
  • Michael E. Woods
    • 1
  • Mathew C. Raynor
    • 1
  • Matthew E. Nielsen
    • 1
  • Eric M. Wallen
    • 1
  • Raj S. Pruthi
    • 1
  1. 1.Division of Urologic SurgeryThe University of North Carolina at Chapel HillChapel HillUSA

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