The Journal of Urology
Volume 184, Issue 1 , Pages 87-91 , July 2010

Surgical Margin Status After Robot Assisted Radical Cystectomy: Results From the International Robotic Cystectomy Consortium

  • Nicholas J. Hellenthal

      Affiliations

    • Department of Urologic Oncology, Roswell Park Cancer Institute, Buffalo, New York
    • ,
  • Abid Hussain

      Affiliations

    • Department of Urologic Oncology, Roswell Park Cancer Institute, Buffalo, New York
    • ,
  • Paul E. Andrews

      Affiliations

    • Department of Urologic Oncology, Mayo Clinic, Scottsdale, Arizona
    • ,
  • Paul Carpentier

      Affiliations

    • Department of Urologic Oncology, Onze-Lieve-Vrouw Ziekenhuis, Aalst, Belgium
    • ,
  • Erik Castle

      Affiliations

    • Department of Urologic Oncology, Mayo Clinic, Scottsdale, Arizona
    • ,
  • Prokar Dasgupta

      Affiliations

    • Department of Urologic Oncology, Guy's Hospital, London, United Kingdom
    • ,
  • Jihad Kaouk

      Affiliations

    • Department of Urologic Oncology, Cleveland Clinic Foundation, Cleveland, Ohio
    • ,
  • Shamim Khan

      Affiliations

    • Department of Urologic Oncology, Guy's Hospital, London, United Kingdom
    • ,
  • Adam Kibel

      Affiliations

    • Department of Urologic Oncology, Washington University, St. Louis, Missouri
    • ,
  • Hyung Kim

      Affiliations

    • Department of Urologic Oncology, Roswell Park Cancer Institute, Buffalo, New York
    • ,
  • Murugesan Manoharan

      Affiliations

    • Department of Urologic Oncology, University of Miami, Miami, Florida
    • ,
  • Mani Menon

      Affiliations

    • Department of Urologic Oncology, Henry Ford Health System, Detroit, Michigan
    • ,
  • Alex Mottrie

      Affiliations

    • Department of Urologic Oncology, Onze-Lieve-Vrouw Ziekenhuis, Aalst, Belgium
    • ,
  • David Ornstein

      Affiliations

    • Department of Urologic Oncology, 21st Century Oncology, Naples, Florida
    • ,
  • Joan Palou

      Affiliations

    • Department of Urologic Oncology, Henry Ford Health System, Detroit, Michigan
    • ,
  • James Peabody

      Affiliations

    • Department of Urologic Oncology, Fundaçio Puigvert, Barcelona, Spain
    • ,
  • Raj Pruthi

      Affiliations

    • Department of Urologic Oncology, University of North Carolina, Chapel Hill, North Carolina
    • ,
  • Lee Richstone

      Affiliations

    • Department of Urologic Oncology, Arthur Smith Institute for Urology, Long Island, New York
    • ,
  • Francis Schanne

      Affiliations

    • Department of Urologic Oncology, Urologic Surgical Associates of Delaware, Wilmington, Delaware
    • ,
  • Hans Stricker

      Affiliations

    • Department of Urologic Oncology, Henry Ford Health System, Detroit, Michigan
    • ,
  • Raju Thomas

      Affiliations

    • Department of Urologic Oncology, Tulane University, New Orleans, Louisiana
    • ,
  • Peter Wiklund

      Affiliations

    • Department of Urologic Oncology, Karolinska University, Stockholm, Sweden
    • ,
  • Greg Wilding

      Affiliations

    • Department of Urologic Oncology, Roswell Park Cancer Institute, Buffalo, New York
    • ,
  • Khurshid A. Guru

      Affiliations

    • Department of Urologic Oncology, Roswell Park Cancer Institute, Buffalo, New York
    • Corresponding Author InformationCorrespondence and requests for reprints: Department of Urologic Oncology, Roswell Park Cancer Institute, Elm and Carlton Sts., Buffalo, New York 14263 (telephone: 716-845-3389; FAX: 716-845-3300)

Received 2 December 2009

References 

  1. Herr HW, Dotan Z, Donat SM, et al. Defining optimal therapy for muscle invasive bladder cancer. J Urol. 2007;177:437
  2. Montie JE. Against bladder sparing: surgery. J Urol. 1999;162:452
  3. Dotan ZA, Kavanagh K, Yossepowitch O, et al. Positive surgical margins in soft tissue following radical cystectomy for bladder cancer and cancer specific survival. J Urol. 2007;178:2308
  4. Cheng L, Weaver AL, Leibovich BC, et al. Predicting the survival of bladder carcinoma patients treated with radical cystectomy. Cancer. 2000;88:2326
  5. Herr HW, Faulkner JR, Grossman HB, et al. Surgical factors influence bladder cancer outcomes: a cooperative group report. J Clin Oncol. 2004;22:2781
  6. Guru KA, Hussain A, Chandrasekhar R, et al. Current status of robot-assisted surgery in urology: a multi-national survey of 297 urologic surgeons. Can J Urol. 2009;16:4736
  7. Badani KK, Kaul S, Menon M. Evolution of robotic radical prostatectomy: assessment after 2766 procedures. Cancer. 2007;110:1951
  8. Canter D, Guzzo TJ, Resnick MJ, et al. A thorough pelvic lymph node dissection in presence of positive margins associated with better clinical outcomes in radical cystectomy patients. Urology. 2009;74:161
  9. Hadjizacharia P, Stein JP, Cai J, et al. The impact of positive soft tissue surgical margins following radical cystectomy for high-grade, invasive bladder cancer. World J Urol. 2009;27:33
  10. Haber GP, Gill IS. Laparoscopic radical cystectomy for cancer: oncological outcomes at up to 5 years. BJU Int. 2007;100:137
  11. Pruthi RS, Wallen EM. Is robotic radical cystectomy an appropriate treatment for bladder cancer? (Short-term oncologic and clinical follow-up in 50 consecutive patients). Urology. 2008;72:617
  12. Wang GJ, Barocas DA, Raman JD, et al. Robotic vs open radical cystectomy: prospective comparison of perioperative outcomes and pathological measures of early oncological efficacy. BJU Int. 2008;101:89
  13. Stein JP, Lieskovsky G, Cote R, et al. Radical cystectomy in the treatment of invasive bladder cancer: long-term results in 1,054 patients. J Clin Oncol. 2001;19:666
  14. Herr H, Lee C, Chang S, et al. Standardization of radical cystectomy and pelvic lymph node dissection for bladder cancer: a collaborative group report. J Urol. 2004;171:1823
  15. Ahlering TE, Skarecky D, Lee D, et al. Successful transfer of open surgical skills to a laparoscopic environment using a robotic interface: initial experience with laparoscopic radical prostatectomy. J Urol. 2003;170:1738
  16. Atug F, Castle EP, Srivastav SK, et al. Positive surgical margins in robotic-assisted radical prostatectomy: impact of learning curve on oncologic outcomes. Eur Urol. 2006;49:866

 Study received institutional review board approval.

PII: S0022-5347(10)03014-4

doi: 10.1016/j.juro.2010.03.037

The Journal of Urology
Volume 184, Issue 1 , Pages 87-91 , July 2010

Article Tools

* Image Usage & Resolution