Department of Urology, Roswell Park Cancer Institute, Buffalo, NY 14263, USA.
Expert Rev Anticancer Ther. 2013 Jun;13(6):681-95. doi: 10.1586/era.13.59.
Minimally invasive approaches to radical cystectomy are 20 years old. Available data suggest that minimally invasive radical cystectomy can provide comparable outcomes to open radical cystectomy despite the scarcity of level 1-2 evidence. Perioperative, functional and early oncologic outcomes seem comparable between the two surgical approaches. Robotic technology has allowed more surgeons to perform minimally invasive radical cystectomy and has simplified technically demanding steps that posed problems in conventional laparoscopy. This is evident by the rapid dissemination of robotics in many bladder cancer centers worldwide and by the numerous emerging series of robot-assisted intracorporeal urinary diversion. Until more data are available regarding the oncologic performance of minimally invasive radical cystectomy, open radical cystectomy remains the gold standard procedure for now.
微创根治性膀胱切除术已有 20 年的历史。现有数据表明，微创根治性膀胱切除术可提供与开放性根治性膀胱切除术相当的结果，尽管缺乏 1-2 级证据。两种手术方法的围手术期、功能和早期肿瘤学结果似乎相似。机器人技术使更多的外科医生能够进行微创根治性膀胱切除术，并简化了在传统腹腔镜手术中存在问题的技术要求高的步骤。这一点可以从机器人技术在全球许多膀胱癌中心的迅速传播以及众多新兴的机器人辅助体内尿流改道术系列中得到证明。在关于微创根治性膀胱切除术的肿瘤学表现的更多数据可用之前，开放性根治性膀胱切除术目前仍是金标准手术。
