Robot-assisted Laparoscopic Radical Cystectomy KH Rha Severance Hospital Yonsei University The 10 th Catholic International Urology Symposium, :30–14:50 Asian experiences of laparoscopic radical cystectomy

Robot-assisted Laparoscopic Radical Cystectomy Advantages surgeon comfort less learning curve (than lap surgery) advantages of minimally invasive surgery better outcome? Disadvantages lack of an effective force-feedback feature more cumbersome robotic installation relative high cost

Between April 2007 and April men, 3 women RLRC were performed with the da Vinci™ robot system with four robot arms. The specimen was extracted through the subumbilical incision. The ICUD was achieved through a removal site of a specimen by extracorporeal technique. Robot-assisted Laparoscopic Radical Cystectomy in Yonsei

17cm 8cm ● 5mm port ■ 8mm port ▲ 12mm port 2-3cm Port Placement

Robot-assisted Laparoscopic Radical Cystectomy in Yonsei

Results Mean operative time: ± 77.8 min Mean estimated blood loss: ± ml No major intraoperative complication One open conversion due to severe adhesion Robot-assisted Laparoscopic Radical Cystectomy in Yonsei

Pathologic stageNumber of patients Positive Margins T0/Ta/Tis3- T1/T23- T31- T42-

Results Mean number of LN dissected: 16.4 ± 7.7 (range: 12–28) Mean hospital stay: 10.3 ± 2.8 days Mean soft diet start: 5.4 ± 1.7 days Robot-assisted Laparoscopic Radical Cystectomy in Yonsei

Robot-assisted radical cystectomy with pelvic lymph node dissection can be safely performed in patients who are candidates for open cystectomy Long term oncological results and QOL outcomes will define its position in minimally invasive urologic oncology Conclusion

Thank you for attention.