Re-establishing the Role of Robot-assisted Radical Cystectomy After the 2020 EAU Muscle-invasive and Metastatic Bladder Cancer Guideline Panel Recommendations.

Journal: European urology
Published Date: Jul 28, 2020

Abstract

The EAU guidelines panel on muscle-invasive and metastatic bladder cancer (MIBC) recently recommended open radical cystectomy (ORC) as the best surgical approach for MIBC patients. We critically re-examine the indications for considering ORC as the first choice over robot-assisted radical cystectomy. To the best of our knowledge, this is not supported by trials or meta-analyses.

Authors

  • Francesco Montorsi
    Unit of Urology/Division of Oncology, Gianfranco Soldera Prostate Cancer Lab, URI, IRCCS San Raffaele Scientific Institute, Via Olgettina 58, 20132, Milan, Italy.
  • Marco Bandini
    Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
  • Alberto Briganti
    Unit of Urology/Division of Oncology, Gianfranco Soldera Prostate Cancer Lab, URI, IRCCS San Raffaele Scientific Institute, Via Olgettina 58, 20132, Milan, Italy.
  • Prokar Dasgupta
  • Andrea Gallina
    Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
  • Michele Gallucci
    Department of Urology, La Sapienza University, Rome, Italy.
  • Inderbir S Gill
    Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Los Angeles, California.
  • Khurshid A Guru
  • Ashok Hemal
    Department of Urology, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.
  • Mani Menon
  • Marco Moschini
    Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
  • Declan G Murphy
    Division of Cancer Surgery, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Australia; Epworth Prostate Centre, Epworth Healthcare, Richmond, Australia.
  • Dipen J Parekh
    Miller School of Medicine, University of Miami, Miami, FL, USA. Electronic address: parekhd@miami.edu.
  • Hiten D Patel
    The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Hiten R H Patel
    Department of Urology, University Hospital of Northern Norway, Tromsø, Norway.
  • Michael Stöckle
    University of the Saarland, Homburg Saar, Germany.
  • Ash K Tewari
    Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Carl J Wijburg
    Department of Urology, Rijnstate Hospital, Arnhem, The Netherlands.
  • Peter Wiklund
    Department of Oncology and Pathology, Karolinska Institute, Stockholm, Sweden.
  • Timothy G Wilson
    John Wayne Cancer Institute, Santa Monica, CA, USA.
  • Alexandre Mottrie
    ORSI Academy Melle Belgium.

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