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Male Robot-Assisted Radical Cystectomy

  • Wei Shen Tan
  • Ashwin Sridhar
  • John D. Kelly
Chapter

Abstract

Radical cystectomy and lymphadenectomy remains the recommended treatment for muscle invasive bladder cancer (MIBC) and selected high grade non-muscle invasive bladder cancer (NMIBC) (Alfred et al., Eur Urol 71:462–475, 2017; Tan et al., Cancer Treat Rev 47:22–31, 2016). The cohort of patients requiring this procedure are often elderly with multiple co-morbidities secondary to long standing tobacco smoking and exposure to environmental carcinogens. In addition, the technical challenging nature of radical cystectomy can result in significant morbidity and mortality (Tan et al., Adv Urol 2015:7, 2015). Efforts to minimise perioperative complications have led to the development of minimal invasive cystectomy (Tan et al., Scand J Urol 50:95–103, 2016). Parra et al. described the first laparoscopic cystectomy operation in 1992 however, it was not widely adopted due to technical challenges of intracoproreal urinary diversion reconstruction (Parra et al., J Urol 148:1140–1144, 1992).

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Wei Shen Tan
    • 1
    • 2
  • Ashwin Sridhar
    • 1
    • 2
  • John D. Kelly
    • 1
    • 2
  1. 1.Division of Surgery and Interventional ScienceUniversity College LondonLondonUK
  2. 2.Department of UrologyUniversity College London HospitalLondonUK

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