Abstract
Radical cystectomy (RC) remains the main surgical treatment for patients with muscle-invasive bladder cancer. Currently, robot-assisted access is actively used along with the open one. The review analyzes the main results of robot-assisted RC and compares them with those after open RC. We evaluated the following parameters of robot-assisted RC: surgery duration, volume of blood loss, terms of patients’ hospitalization, 30- and 90-day complications. We also compared the results of extra- and intracorporeal urine diversion and found out that intracorporeal ileal conduit formation and orthotopic cystoplasty are more advantageous. Gaining experience allows us to reduce the number of postoperative complications, especially severe ones according to Clavien classification, and to improve the functional results of robot-assisted RC.
Highlights
Радикальная цистэктомия (РЦ) остается основным методом оперативного лечения больных мышечно-инвазивным раком мочевого пузыря
The review analyzes the main results of robot-assisted Radical cystectomy (RC) and compares them with those after open RC
We evaluated the following parameters of robot-assisted RC: surgery duration, volume of blood loss, terms of patients’ hospitalization, 30- and 90‐day complications
Summary
Радикальная цистэктомия (РЦ) остается основным методом оперативного лечения больных мышечно-инвазивным раком мочевого пузыря. Сообщили о средних отдаленных результатах у 113 пациентов, подвергнутых РАРЦ с интракорпоральной деривацией мочи, среди которых ПХК установлен в 5,3 % случаев, опухолевоспецифическая 3‐летняя выживаемость составила 81 %, а 5‐летняя – 67 % [27]. В другом исследовании RAZOR [33, 34], в которое были включены результаты РЦ у 302 больных, 3‐летняя безрецидивная и общая выживаемость после РАРЦ и ОРЦ составила 68,4 и 65,4 % (р = 0,6), 73,9 % и 68,5 % (р = 0,334) соответственно.
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