Department of Urology, Roswell Park Cancer Institute, Elm and Carlton streets, Buffalo, NY 14263, USA.
Nat Rev Urol. 2012 Oct;9(10):573-82. doi: 10.1038/nrurol.2012.144. Epub 2012 Jul 31.
Radical cystectomy is associated with significant morbidity. However, the introduction of minimally invasive surgical approaches has attempted to improve perioperative outcomes and decrease surgical complications. Emerging data suggest that robot-assisted radical cystectomy (RARC) might have some advantages compared with open radical cystectomy (ORC). However, the oncologic performance of RARC in patients with locally advanced disease is currently unclear, making it crucial to select patients for the procedure very carefully. No long-term prospective studies comparing the robot-assisted and open techniques have been reported. Until long-term oncologic outcomes of RARC and the results of currently ongoing randomized trials comparing the two techniques become available, ORC remains the gold standard.
根治性膀胱切除术与显著的发病率相关。然而，微创外科方法的引入试图改善围手术期结果并减少手术并发症。新出现的数据表明，机器人辅助根治性膀胱切除术（RARC）可能与开放性根治性膀胱切除术（ORC）相比具有一些优势。然而，局部晚期疾病患者的 RARC 的肿瘤学性能目前尚不清楚，因此非常有必要仔细选择接受该手术的患者。目前还没有比较机器人辅助和开放技术的长期前瞻性研究。直到 RARC 的长期肿瘤学结果以及比较两种技术的正在进行的随机试验结果公布，ORC 仍然是金标准。
