Finding out you have bladder cancer may be one of the hardest things you’ve faced. That’s why it’s important to learn about all of your options before choosing the best path forward.
Know Your Options
Bladder cancer surgery is known as a cystectomy. If your doctor suggests surgery, a cystectomy can be done using open surgery through one large incision (cut). It can also be done using minimally invasive – through a few small incisions – with traditional laparoscopy or da Vinci® Surgery.
Why da Vinci Surgery?
The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:
- A 3D HD view inside your body
- Wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision and control
da Vinci Cystectomy offers the following potential benefits compared to traditional open surgery:
- Lower risk of major and overall complications 1,2
- Less blood loss1,2,3 lower rate of blood transfusions 1,2,3
- Less need for narcotic pain medicine after surgery; 3,4,5
- Quicker return to a normal diet 6,7
- Shorter hospital stay 1,3,6,7
- Quicker recovery of bowel function 4,8
- Minimal scarring
- Better lymph node removal yield 2,7
The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.
Risks & Considerations Related to Cystectomy (removal of all/part of the bladder): leaking of urine, injury to the rectum, scar tissue that causes narrowing between two connected structures, fistula (abnormal bond of an organ, intestine or vessel to another part of the body), leaking of urine, urgent need to urinate, cannot get or keep an erection, abnormal pooling of lymph fluid.
1. Kader A, Richards K, Krane L, Pettus J, Smith J, Hemal A. Robot-assisted laparoscopic vs open radical cystectomy: comparison of complications and perioperative oncological outcomes in 200 patients. BJU International. 2013;112(4):E290-E294. doi:10.1111/bju.12167.
2. Musch M, Janowski M, Steves A et al. Comparison of early postoperative morbidity after robot-assisted and open radical cystectomy: results of a prospective observational study. BJU International. 2013;113(3):458-467. doi:10.1111/bju.1237
3. Trentman T, Fassett S, McGirr D et al. Comparison of anesthetic management and outcomes of robot-assisted versus open radical cystectomy. J Robotic Surg. 2012;7(3):273-279. doi:10.1007/s11701-012-0379-7.
4. Nix J, Smith A, Kurpad R, Nielsen ME, Wallen EM, Pruthi RS. Prospective Randomized Controlled Trial of Robotic versus Open Radical Cystectomy for Bladder Cancer: Perioperative and Pathologic Results, Eur Urol 2009, doi: 10.1016/j.eururo.2009.10.024.
5. Guru, K. A. W., G. E.; Piacente, P.; Thompson, J.; Deng, W.; Kim, H. L.; Mohler, J.; O'Leary, K. Robot-assisted radical cystectomy versus open radical cystectomy: assessment of postoperative pain. Can J Urol 2007 14(6): 3753-3756.
6. Wang GJ, Barocas DA, Raman JD, Scherr DS.Robotic vs open radical cystectomy: prospective comparison of perioperative outcomes and pathological measures of early oncological efficacy. BJU Int. 2008 Jan;101(1):89-93. Epub 2007 Sep 20.
7. Koo K, Yoon Y, Chung B, Hong S, Rha K. Analgesic Opioid Dose Is an Important Indicator of Postoperative Ileus Following Radical Cystectomy with Ileal Conduit: Experience in the Robotic Surgery Era. Yonsei Medical Journal. 2014;55(5):1359. doi:10.3349/ymj.2014.55.5.1359.
8. Pruthi R, Wallen E. Robotic Assisted Laparoscopic Radical Cystoprostatectomy: Operative and Pathological Outcomes. The Journal of Urology. 2007;178(3):814-818. doi:10.1016/j.juro.2007.05.040.