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Between 2005 and 2015, 425 consecutive patients with bladder cancer underwent RARC at Roswell Park Cancer Institute by a single surgeon. No open radical cystectomy was performed and no patient was referred to any outside institution. A retrospective review of our prospectively maintained RARC Quality Assurance Database was performed. Patients were thoroughly and carefully counseled about the risks and benefits of all types of urinary diversion, while considering their individual preferences. Patients were informed that even if CUD was planned preoperatively, intraoperative findings (as positive urethral margins) may preclude the decision for CUD. All patients had a marked stoma site prior to RARC. Techniques for RARC and urinary diversion have been previously described [7]. Follow up was done in compliance with National Comprehensive Cancer Network (NCCN) guidelines.

Does Robot-Assisted Approach to Radical Cystectomy Influence Surgeon Choice for Urinary Diversion?