Gynecological organ involvement at robot-assisted radical cystectomy in females: Is anterior exenteration necessary?

Abstract

Patients with trigonal tumours, variant histology, and nodal involvement are more likely to have gynecological organs invasion at RAAE. This information may help improve counselling of patients and better identify candidates for gynecological organ-sparing cystectomy.

Surgical and functional outcomes after robot-assisted radical cystectomy in female patients: a systematic review of the literature

“…These patients had more LVI at TURBT (82% vs. 46%, P = 0.006), trigonal tumours at TURBT (59% vs. 18%, P = 0.001), multifocal disease (65% vs. 33%, P = 0.01), (71% vs. 22%, P < 0.001), PSMs (24% vs. 4%; P = 0.02), and they less commonly demonstrated pure urothelial carcinoma at TURBT (18% vs. 66%, P < 0. The mean total OT was 554 min (567 in female, 550 in male, P = 0.64), and the mean EBL was 526 mL (591 in female, 515 in male, P = 0.32) Kang et al [16] , All articles collected dealt with female patients undergoing RARC. In three of these studies, the technique applied was NS [13,21,22] , specifically to safeguard functional postoperative outcomes.…”

“…Eligible articles were published between 2009 and 2020 involving female patients who underwent RARC from December 2003 to June 2018. All selected studies had a retrospective design; only one was a multicenter study [16] , whereas all others were based on data collected in a single institution. Four of the eight studies were from the USA [17][18][19][20] , one from Turkey [21] , one from Sweden [22] , one from Italy [13] , and one from Korea [16] .…”

“…All selected studies had a retrospective design; only one was a multicenter study [16] , whereas all others were based on data collected in a single institution. Four of the eight studies were from the USA [17][18][19][20] , one from Turkey [21] , one from Sweden [22] , one from Italy [13] , and one from Korea [16] . Three of them were comparative articles: two reported gender comparison data [16,19] and one compared RARC and ORC [18] .…”

“…Four of the eight studies were from the USA [17][18][19][20] , one from Turkey [21] , one from Sweden [22] , one from Italy [13] , and one from Korea [16] . Three of them were comparative articles: two reported gender comparison data [16,19] and one compared RARC and ORC [18] . 17 patients (14%) showed a gynecological organ invasion at pathological specimen.…”

Robot‐assisted radical cystectomy: Review of surgical technique, and perioperative, oncological and functional outcomes

“…Cystectomy with preservation of the internal genital organs is feasible in women with early, solitary or T2 bladder cancer with satisfactory functional and oncological outcomes with proper case selection …”