Abstract
AbstractRadical cystectomy with urinary diversion is one of the most complex urologic procedures. Despite improvements in surgical technique, anaesthesia and perioperative care, radical cystectomy is still associated with significant morbidity and prolonged in-patient stay after surgery [1]. Fast-track principles are standard procedure in radical cystectomy, to minimise complications. Robotic surgery has been performed in an effort to reduce surgical stress and decrease perioperative morbidity [2]. Despite the degree of dissection, it remains the gold standard for muscle invasive bladder cancer. The magnitude of the surgical insult is associated with the degree of stress response, particularly in ageing patients with multiple comorbidities. However, there has been a growing trend towards enhanced recovery protocols (ERP).
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