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Outcomes - Robot-Assisted Radical Cystectomy

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Robot-Assisted Radical Cystectomy (bladder removal)
At RPCI, approximately 98% of all bladder cancer surgeries are performed with robotic assistance. RPCI’s outcomes for robot-assisted cystectomy are benchmarked against published averages below. To date, over 225 robot-assisted cystectomies have been performed at RPCI.

Lymph Node Removal
Bladder Robotics Outcomes Lymph Node Removal

This graph shows the increasing yield of lymph nodes at RPCI as experience with the robot-assisted approach grew.

Reference:
1. Guru K, Sternberg K, Wilding G et al. The lymph node yield during robot-assisted radical cystectomy. BJUI 2008; 102, 231-234.

Estimated Blood Loss (EBL)
Bladder Robotics Outcomes Blood Loss

This graph shows the average amount of blood loss during radical cystectomy for patients at RPCI, Memorial Sloan Kettering Cancer Center (MSKCC), and Weill-Cornell Medical Center.

References:
1. Hayn M, Hellenthal N, Hussain A, Stegemann A, Guru K. Defining morbidity of robot-assisted radical cystectomy using a standardized reporting methodology. Eur Urol 2011; 59, 213-218.
2. Shabsigh A, Korets R, Vora K et al. Defining early morbidity of radical cystectomy for patients with bladder cancer using a standardized reporting methodology. Eur Urol 2009; 55, 164-176.
3. Ng C, Kauffman E, Lee M-M et al. A comparison of postoperative complications in open versus robotic cystectomy. Eur Urol 2011; 57, 274-282.

Pain: Open vs. Robot-Assisted Surgery
Bladder Robotics Outcomes Pain

At RPCI, less morphine sulphate equivalents are needed for robot-assisted cystectomy than for open surgery.

Reference:
1. Guru K, Wilding G, Piacente P et al. Robot-assisted radical cystectomy versus open radical cystectomy: Assessment of postoperative pain. Can J Urol 2007; 14(6), 3753-356.

Health-Related Quality of Life: Before and After Surgery
Bladder Robotics Outcomes Health Related Quality of Life

Quality of life refers to how patients assess their well-being in different areas of life: physical, social, emotional and day-to-day functioning. Robot-assisted cystectomy patients recover fully 3 months after surgery.

Reference:
1. Yuh B, Butt Z, Fazili A et al. Short-term quality-of-life assessed after robot-assisted radical cystectomy: A prospective analysis. BJUI 2008; 103, 800-804.

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