View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
MONDAY, Nov. 7 (HealthDay News) -- Robotic-assisted radical cystectomy (RARC) appears to be a safe and effective alternative to open radical cystectomy (ORC) for management of muscle-invasive bladder cancer, according to a review published in the November issue of Urology.
Marcelo A. Orvieto, M.D., from the University of Chicago Medical Center, and colleagues reviewed available literature pertaining to RARC. A total of 24 studies with 350 cases were included. They described the current experience and status of RARC and compared it with the ORC series.
The investigators found that, at present, the conversion rates for RARC are acceptable, ranging from 0 to 3 percent. RARC should currently be offered mainly to patients with low-volume, nonbulky, organ-confined disease, without a history of pelvic radiation. Adequate port placement is a vital step for successful procedure outcome. More than 75 percent of all RARCs have been performed in men, but the surgical technique for both men and women aims to replicate and follow the same oncological principles, as the open approach. Very few RARC cases have been carried out with intracorporeal bowel reconstruction, but accumulating experience and additional refinement of the technique are likely to make the procedure more widespread. Compared to laparoscopy, RARC has a shorter learning curve and reduced estimated blood loss (EBL). Compared to ORC, RARC has significantly reduced mean EBL, shorter hospital stay, and longer operating time with comparable complications.
"This review of published RARC series affirms the need for prospective, long-term, controlled studies to adequately evaluate the role of robotics in bladder cancer surgery," the authors write.
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top