The feasibility and safety of robotic‐assisted salvage radical cystectomy
Abstract Objectives To evaluate the feasibility and safety of robotic‐assisted salvage radical cystectomy (RA‐SRC). Materials and Methods We retrospectively searched the prospectively collected surgical database of two highly experienced robotic urological surgeons for cases of RA‐SRC, defined as RA...
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| Formatua: | Artikulua |
| Hizkuntza: | English |
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Wiley
2025-01-01
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| Saila: | BJUI Compass |
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| Sarrera elektronikoa: | https://doi.org/10.1002/bco2.459 |
| _version_ | 1826577956306157568 |
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| author | Gal Rinott Mizrahi Nathan Lawrentschuk Benjamin Thomas Philip Dundee |
| author_facet | Gal Rinott Mizrahi Nathan Lawrentschuk Benjamin Thomas Philip Dundee |
| author_sort | Gal Rinott Mizrahi |
| collection | DOAJ |
| description | Abstract Objectives To evaluate the feasibility and safety of robotic‐assisted salvage radical cystectomy (RA‐SRC). Materials and Methods We retrospectively searched the prospectively collected surgical database of two highly experienced robotic urological surgeons for cases of RA‐SRC, defined as RARC performed post‐previous pelvic RT for palliative or oncologic treatment purposes. Collected data included demographic and clinical information and outcome measures including operative course, hospital stay and complications. Results Eighteen patients were included in the current analysis. All patients had previous RT to the pelvis with 12 patients also having prior radical pelvic surgery. Indications for salvage cystectomy were either palliation (n = 12) or oncological (MIBC or high risk NMIBC, n = 6). There were no intraoperative complications and no conversions to open surgery. Ninety day postoperative complications were recorded in 11 patients (61.1%), with major complications (Clavien–Dindo grades 3 and 4) in three patients (16.6%). After a median follow‐up of 43.5 months, one late postoperative complication was observed requiring surgical intervention. Conclusion Our data, together with the limited published data from other cohorts of RA‐SRC, suggest that in experienced hands, RA‐SRC is feasible, with intraoperative and perioperative complication rates that are lower than the published data for open SRC and are equivalent to open primary RC. These data will contribute to treatment decision making both in patients with post‐pelvic radiation symptoms requiring palliation and patients with MIBC considering or treated with trimodal treatment. |
| first_indexed | 2025-02-16T15:01:52Z |
| format | Article |
| id | doaj.art-5a74258bb64a4de584992165a51ff9a4 |
| institution | Directory Open Access Journal |
| issn | 2688-4526 |
| language | English |
| last_indexed | 2025-03-14T13:54:43Z |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj.art-5a74258bb64a4de584992165a51ff9a42025-02-27T07:15:05ZengWileyBJUI Compass2688-45262025-01-0161n/an/a10.1002/bco2.459The feasibility and safety of robotic‐assisted salvage radical cystectomyGal Rinott Mizrahi0Nathan Lawrentschuk1Benjamin Thomas2Philip Dundee3The Royal Melbourne Hospital Parkville Victoria AustraliaThe Royal Melbourne Hospital Parkville Victoria AustraliaThe Royal Melbourne Hospital Parkville Victoria AustraliaThe Royal Melbourne Hospital Parkville Victoria AustraliaAbstract Objectives To evaluate the feasibility and safety of robotic‐assisted salvage radical cystectomy (RA‐SRC). Materials and Methods We retrospectively searched the prospectively collected surgical database of two highly experienced robotic urological surgeons for cases of RA‐SRC, defined as RARC performed post‐previous pelvic RT for palliative or oncologic treatment purposes. Collected data included demographic and clinical information and outcome measures including operative course, hospital stay and complications. Results Eighteen patients were included in the current analysis. All patients had previous RT to the pelvis with 12 patients also having prior radical pelvic surgery. Indications for salvage cystectomy were either palliation (n = 12) or oncological (MIBC or high risk NMIBC, n = 6). There were no intraoperative complications and no conversions to open surgery. Ninety day postoperative complications were recorded in 11 patients (61.1%), with major complications (Clavien–Dindo grades 3 and 4) in three patients (16.6%). After a median follow‐up of 43.5 months, one late postoperative complication was observed requiring surgical intervention. Conclusion Our data, together with the limited published data from other cohorts of RA‐SRC, suggest that in experienced hands, RA‐SRC is feasible, with intraoperative and perioperative complication rates that are lower than the published data for open SRC and are equivalent to open primary RC. These data will contribute to treatment decision making both in patients with post‐pelvic radiation symptoms requiring palliation and patients with MIBC considering or treated with trimodal treatment.https://doi.org/10.1002/bco2.459intraoperative complicationspelvic radiationpostoperative complicationsradical cystectomyrobotic‐assisted salvage radical cystectomy (RA‐SRC)salvage |
| spellingShingle | Gal Rinott Mizrahi Nathan Lawrentschuk Benjamin Thomas Philip Dundee The feasibility and safety of robotic‐assisted salvage radical cystectomy BJUI Compass intraoperative complications pelvic radiation postoperative complications radical cystectomy robotic‐assisted salvage radical cystectomy (RA‐SRC) salvage |
| title | The feasibility and safety of robotic‐assisted salvage radical cystectomy |
| title_full | The feasibility and safety of robotic‐assisted salvage radical cystectomy |
| title_fullStr | The feasibility and safety of robotic‐assisted salvage radical cystectomy |
| title_full_unstemmed | The feasibility and safety of robotic‐assisted salvage radical cystectomy |
| title_short | The feasibility and safety of robotic‐assisted salvage radical cystectomy |
| title_sort | feasibility and safety of robotic assisted salvage radical cystectomy |
| topic | intraoperative complications pelvic radiation postoperative complications radical cystectomy robotic‐assisted salvage radical cystectomy (RA‐SRC) salvage |
| url | https://doi.org/10.1002/bco2.459 |
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