Laparoscopic radical cystectomy: Long-term outcomes

Andre Berger, Monish Aron

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: Laparoscopic radical cystectomy is being increasingly performed at several centers across the world. This review analyzes the published perioperative and oncologic outcomes of this procedure. RECENT FINDINGS: Minimally invasive radical cystectomy for bladder cancer is performed laparoscopically or robotically. Urinary diversion is currently usually performed extracorporeally through a small open incision in order to decrease operating time and minimize bowel complications. Although rigorous comparisons with open cystectomy are lacking, minimally invasive radical cystectomy appears to have superior perioperative outcomes. Although long-term outcomes after minimally invasive radical cystectomy are limited, intermediate term oncologic outcomes appear comparable to open radical cystectomy, the reference standard. SUMMARY: Minimally invasive radical cystectomy is technically feasible. Perioperative outcomes are as good as open radical cystectomy if not better. Intermediate term oncologic outcomes compare well with open radical cystectomy. Initial long-term oncologic outcomes are encouraging. Prospective randomized comparison between minimally invasive radical cystectomy and open radical cystectomy is needed to define the role of these modalities in the current context.

Original languageEnglish (US)
Pages (from-to)167-172
Number of pages6
JournalCurrent Opinion in Urology
Volume18
Issue number2
DOIs
StatePublished - Mar 2008
Externally publishedYes

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Cystectomy
Urinary Diversion
Urinary Bladder Neoplasms

Keywords

  • Cystectomy
  • Laparoscopic
  • Oncologic
  • Outcomes
  • Perioperative
  • Robotic

ASJC Scopus subject areas

  • Urology

Cite this

Laparoscopic radical cystectomy : Long-term outcomes. / Berger, Andre; Aron, Monish.

In: Current Opinion in Urology, Vol. 18, No. 2, 03.2008, p. 167-172.

Research output: Contribution to journalArticle

Berger, Andre ; Aron, Monish. / Laparoscopic radical cystectomy : Long-term outcomes. In: Current Opinion in Urology. 2008 ; Vol. 18, No. 2. pp. 167-172.
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