Professional paper

Is open radical cystectomy facing extinction?

Mohammad Shamim Khan
Peter Rimington
Prokar Dasgupta

Abstract

Open radical cystectomy with variety of urinary diversions has remained the gold standard for the treatment of muscle invasive bladder cancer. This is a major surgical procedure with significant post-operative morbidity and mortality. Over the last decade laparoscopy and robotics have made significant inroads into our surgical practice. The well known attractions of minimally invasive surgery include reduced blood and tissue fluid loss during surgery, less post-operative pain, shorter hospital stay, quicker return to work, cosmetically pleasing results and equivalent cancer control. The difficulty in widespread adoption of these minimally invasive options are steep learning curves, limited facilities for training, in the case of robotics formidable initial capital costs and cost of disposables. At present it may be fair to say that there is still a place for open, laparoscopic and robotic radical cystectomy until we have made rigorous evaluation of the new minimally invasive surgical options. A review of our experience of minimally invasive radical cystectomy will be presented.

Keywords

Laparoscopic radical cystectomy; Radical cystectomy; Robotic radical cystectomy

Hrčak ID:

190894

URI

https://hrcak.srce.hr/190894

Publication date:

1.12.2005.

Article data in other languages: croatian

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