Re-establishing the Role of Robot-assisted Radical Cystectomy After the 2020 EAU Muscle-invasive and Metastatic Bladder Cancer Guideline Panel Recommendations

Francesco Montorsi; Marco Bandini; Alberto Briganti; Prokar Dasgupta; Andrea Gallina; Michele Gallucci; Inderbir S Gill; Khurshid A Guru; Ashok Hemal; Mani Menon; Marco Moschini; Declan G Murphy; Dipen J Parekh; Hiten D Patel; Hiten R H Patel; Michael Stöckle; Ash K Tewari; Carl J Wijburg; Peter Wiklund; Timothy G Wilson; Alexandre Mottrie; EAU Robotic Urology Section Scientific Working Group

doi:10.1016/j.eururo.2020.06.035

Re-establishing the Role of Robot-assisted Radical Cystectomy After the 2020 EAU Muscle-invasive and Metastatic Bladder Cancer Guideline Panel Recommendations

Eur Urol. 2020 Oct;78(4):489-491. doi: 10.1016/j.eururo.2020.06.035. Epub 2020 Jul 28.

Authors

Francesco Montorsi¹, Marco Bandini², Alberto Briganti², Prokar Dasgupta³, Andrea Gallina², Michele Gallucci⁴, Inderbir S Gill⁵, Khurshid A Guru⁶, Ashok Hemal⁷, Mani Menon⁸, Marco Moschini⁹, Declan G Murphy¹⁰, Dipen J Parekh¹¹, Hiten D Patel¹², Hiten R H Patel¹³, Michael Stöckle¹⁴, Ash K Tewari¹⁵, Carl J Wijburg¹⁶, Peter Wiklund¹⁷, Timothy G Wilson¹⁸, Alexandre Mottrie¹⁹; EAU Robotic Urology Section Scientific Working Group

Affiliations

¹ Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy. Electronic address: [email protected].
² Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
³ MRC Centre for Transplantation, King's College London, Department of Urology, Guy's Hospital, London, UK.
⁴ Department of Urology, Sapienza University, Rome, Italy.
⁵ Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
⁶ Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
⁷ Department of Urology, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.
⁸ Henry Ford Health System, Detroit, MI, USA.
⁹ Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy; Klinik für Urologie, Luzerner Kantonsspital, Lucerne, Switzerland.
¹⁰ Division of Cancer Surgery, Peter MacCallum Cancer Centre, East Melbourne, Australia.
¹¹ Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA.
¹² The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
¹³ Department of Urology, University Hospital of Northern Norway, Tromsø, Norway.
¹⁴ University of the Saarland, Homburg Saar, Germany.
¹⁵ Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
¹⁶ Rijnstate Hospital, Arnhem, The Netherlands.
¹⁷ Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden.
¹⁸ John Wayne Cancer Institute, Santa Monica, CA, USA.
¹⁹ Department of Urology, Onze Lieve Vrouw Hospital, Aalst, Belgium; ORSI Academy, Melle, Belgium.

PMID: 32736929
DOI: 10.1016/j.eururo.2020.06.035

Abstract

The EAU guidelines panel on muscle-invasive and metastatic bladder cancer (MIBC) recently recommended open radical cystectomy (ORC) as the best surgical approach for MIBC patients. We critically re-examine the indications for considering ORC as the first choice over robot-assisted radical cystectomy. To the best of our knowledge, this is not supported by trials or meta-analyses.

Publication types

Editorial
Comment

MeSH terms

Cystectomy / adverse effects
Humans
Muscles
Robotic Surgical Procedures* / adverse effects
Robotics*
Urinary Bladder Neoplasms* / surgery
Urology*