| Abstract [eng] |
Introduction: Laparoscopic and robot-assisted radical cystectomy have become minimally invasive alternatives to open surgery for patients with muscle-invasive and treatment-resistant non-muscle invasive bladder cancer. The aim of this literature review is to evaluate and compare the current perioperative and postoperative outcomes of these methods and also to compare their outcomes with those of open surgery. Methods: A literature review was conducted using PubMed and Vilnius University databases, comparing individual studies and systematic reviews examining the results of laparoscopic and robot-assisted cystectomy. Results: The reviewed studies show that both laparoscopic and robot-assisted cystectomy have similar perioperative outcomes and oncologic outcomes. Laparoscopic surgery is more likely to have a shorter operation time, but robot-assisted cystectomy may achieve better results in terms of average blood loss and complication rates, which may be influenced by the more convenient and efficient robotic system equipment. Both methods are safe and effective alternatives for radical cystectomy, with lower perioperative morbidity and non-inferior oncologic outcomes compared to open surgery. Conclusions: Both laparoscopic and robot-assisted cystectomy provide similar short- and long-term outcomes. Further long-term studies are needed to examine the results of both minimally invasive methods against each other, in order to better evaluate and draw conclusions about the advantages and disadvantages of these methods. |
