City of Hope Cancer Center, Duarte, CA, USA.
Roswell Park Cancer Institute, Buffalo, NY, USA.
Eur Urol. 2015 Mar;67(3):423-31. doi: 10.1016/j.eururo.2014.12.027. Epub 2015 Jan 14.
The technique of robot-assisted radical cystectomy (RARC) has evolved significantly since its inception >10 yr ago. Several high-volume centers have reported standardized techniques with refinements and subsequent outcomes.
To review all existing literature on RARC and urinary diversion techniques and summarize key points that may affect oncologic, surgical, and functional outcomes.
DESIGN, SETTING, AND PARTICIPANTS: The Pasadena Consensus Panel on RARC and urinary reconstruction convened May 3-4, 2014, to review the existing peer-reviewed literature and create recommendations for best practice. The panel consisted of experts in open radical cystectomy and RARC. No commercial support was received.
The consensus panel extensively reviewed the surgical technique of RARC in men and women, extended pelvic lymph node dissection, extracorporeal urinary diversion, and intracorporeal urinary diversion. Critical aspects of the technique are described.
Preoperative, operative, and postoperative parameters from the largest and most contemporary RARC series, stratified by urinary diversion technique, are presented.
Preoperative, operative, and postoperative measures of RARC technique adhere closely to the standards established in open surgery.
Refinement of techniques for RARC and urinary diversion over the past 10 yr has made it safe, reproducible, and oncologically sound.
We summarize the critical aspects of surgical techniques reviewed at the Pasadena international consensus meeting on RARC and urinary reconstruction. Preoperative, operative, and postoperative measures of RARC technique adhere closely to the standards established in open surgery.
机器人辅助根治性膀胱切除术（RARC）自 10 多年前问世以来，技术已有了显著发展。一些高容量中心已经报道了具有改进和后续结果的标准化技术。
回顾所有关于 RARC 和尿流改道术的现有文献，并总结可能影响肿瘤学、手术和功能结果的要点。
设计、地点和参与者：2014 年 5 月 3 日至 4 日，帕萨迪纳 RARC 和尿重建共识小组召开会议，审查现有的同行评议文献，并为最佳实践提出建议。该小组由开放根治性膀胱切除术和 RARC 的专家组成。没有收到商业支持。
共识小组广泛审查了男性和女性的 RARC 手术技术、扩展盆腔淋巴结清扫术、体外尿路分流术和体内尿路分流术。描述了该技术的关键方面。
呈现了最大和最具当代意义的 RARC 系列的术前、术中和术后参数，按尿流改道术进行分层。
RARC 技术的术前、术中和术后措施与开放手术中确立的标准密切一致。
在过去 10 年中，对 RARC 和尿流改道术的技术改进使其安全、可重复且具有肿瘤学意义。
我们总结了在帕萨迪纳国际 RARC 和尿重建共识会议上审查的手术技术的关键方面。RARC 技术的术前、术中和术后措施与开放手术中确立的标准密切一致。
