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Robot-assisted radical cystectomy and urinary diversion: technical recommendations from the Pasadena Consensus Panel.
Eur Urol 2015; 67(3):423-31EU

Abstract

BACKGROUND

The technique of robot-assisted radical cystectomy (RARC) has evolved significantly since its inception >10 yr ago. Several high-volume centers have reported standardized techniques with refinements and subsequent outcomes.

OBJECTIVE

To review all existing literature on RARC and urinary diversion techniques and summarize key points that may affect oncologic, surgical, and functional outcomes.

DESIGN, SETTING, AND PARTICIPANTS

The Pasadena Consensus Panel on RARC and urinary reconstruction convened May 3-4, 2014, to review the existing peer-reviewed literature and create recommendations for best practice. The panel consisted of experts in open radical cystectomy and RARC. No commercial support was received.

SURGICAL PROCEDURE

The consensus panel extensively reviewed the surgical technique of RARC in men and women, extended pelvic lymph node dissection, extracorporeal urinary diversion, and intracorporeal urinary diversion. Critical aspects of the technique are described.

OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS

Preoperative, operative, and postoperative parameters from the largest and most contemporary RARC series, stratified by urinary diversion technique, are presented.

RESULTS AND LIMITATIONS

Preoperative, operative, and postoperative measures of RARC technique adhere closely to the standards established in open surgery.

CONCLUSIONS

Refinement of techniques for RARC and urinary diversion over the past 10 yr has made it safe, reproducible, and oncologically sound.

PATIENT SUMMARY

We summarize the critical aspects of surgical techniques reviewed at the Pasadena international consensus meeting on RARC and urinary reconstruction. Preoperative, operative, and postoperative measures of RARC technique adhere closely to the standards established in open surgery.

Authors+Show Affiliations

City of Hope Cancer Center, Duarte, CA, USA. Electronic address: kchan@coh.org.Roswell Park Cancer Institute, Buffalo, NY, USA.Karolinska Institute, Stockholm, Sweden.University of Sheffield, Sheffield, UK.City of Hope Cancer Center, Duarte, CA, USA.University of Padua, Padua, Italy.Peter MacCallum Cancer Centre, Melbourne, Australia.Roswell Park Cancer Institute, Buffalo, NY, USA.Karolinska Institute, Stockholm, Sweden.City of Hope Cancer Center, Duarte, CA, USA.City of Hope Cancer Center, Duarte, CA, USA.No affiliation info available

Pub Type(s)

Consensus Development Conference
Journal Article
Practice Guideline
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

25595099

Citation

Chan, Kevin G., et al. "Robot-assisted Radical Cystectomy and Urinary Diversion: Technical Recommendations From the Pasadena Consensus Panel." European Urology, vol. 67, no. 3, 2015, pp. 423-31.
Chan KG, Guru K, Wiklund P, et al. Robot-assisted radical cystectomy and urinary diversion: technical recommendations from the Pasadena Consensus Panel. Eur Urol. 2015;67(3):423-31.
Chan, K. G., Guru, K., Wiklund, P., Catto, J., Yuh, B., Novara, G., ... Wilson, T. G. (2015). Robot-assisted radical cystectomy and urinary diversion: technical recommendations from the Pasadena Consensus Panel. European Urology, 67(3), pp. 423-31. doi:10.1016/j.eururo.2014.12.027.
Chan KG, et al. Robot-assisted Radical Cystectomy and Urinary Diversion: Technical Recommendations From the Pasadena Consensus Panel. Eur Urol. 2015;67(3):423-31. PubMed PMID: 25595099.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Robot-assisted radical cystectomy and urinary diversion: technical recommendations from the Pasadena Consensus Panel. AU - Chan,Kevin G, AU - Guru,Khurshid, AU - Wiklund,Peter, AU - Catto,James, AU - Yuh,Bertram, AU - Novara,Giacomo, AU - Murphy,Declan G, AU - Al-Tartir,Tareq, AU - Collins,Justin W, AU - Zhumkhawala,Ali, AU - Wilson,Timothy G, AU - ,, Y1 - 2015/01/14/ PY - 2014/12/05/received PY - 2014/12/12/accepted PY - 2015/1/18/entrez PY - 2015/1/18/pubmed PY - 2015/12/15/medline KW - Bladder cancer KW - Cystectomy KW - Extended pelvic lymph node dissection KW - Extracorporeal urinary reconstruction KW - Ileal conduit urinary diversion KW - Indiana pouch KW - Intracorporeal urinary reconstruction KW - Orthotopic urinary diversion KW - Radical cystectomy KW - Robot-assisted radical cystectomy SP - 423 EP - 31 JF - European urology JO - Eur. Urol. VL - 67 IS - 3 N2 - BACKGROUND: The technique of robot-assisted radical cystectomy (RARC) has evolved significantly since its inception >10 yr ago. Several high-volume centers have reported standardized techniques with refinements and subsequent outcomes. OBJECTIVE: To review all existing literature on RARC and urinary diversion techniques and summarize key points that may affect oncologic, surgical, and functional outcomes. DESIGN, SETTING, AND PARTICIPANTS: The Pasadena Consensus Panel on RARC and urinary reconstruction convened May 3-4, 2014, to review the existing peer-reviewed literature and create recommendations for best practice. The panel consisted of experts in open radical cystectomy and RARC. No commercial support was received. SURGICAL PROCEDURE: The consensus panel extensively reviewed the surgical technique of RARC in men and women, extended pelvic lymph node dissection, extracorporeal urinary diversion, and intracorporeal urinary diversion. Critical aspects of the technique are described. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Preoperative, operative, and postoperative parameters from the largest and most contemporary RARC series, stratified by urinary diversion technique, are presented. RESULTS AND LIMITATIONS: Preoperative, operative, and postoperative measures of RARC technique adhere closely to the standards established in open surgery. CONCLUSIONS: Refinement of techniques for RARC and urinary diversion over the past 10 yr has made it safe, reproducible, and oncologically sound. PATIENT SUMMARY: We summarize the critical aspects of surgical techniques reviewed at the Pasadena international consensus meeting on RARC and urinary reconstruction. Preoperative, operative, and postoperative measures of RARC technique adhere closely to the standards established in open surgery. SN - 1873-7560 UR - https://www.unboundmedicine.com/medline/citation/25595099/Robot_assisted_radical_cystectomy_and_urinary_diversion:_technical_recommendations_from_the_Pasadena_Consensus_Panel_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0302-2838(14)01293-7 DB - PRIME DP - Unbound Medicine ER -