Academic Journal
Open versus robot-assisted surgery in reconstructive urology: lessons from vesicourethral anastomotic stenosis and radical cystectomy.
| Τίτλος: | Open versus robot-assisted surgery in reconstructive urology: lessons from vesicourethral anastomotic stenosis and radical cystectomy. |
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| Συγγραφείς: | Klemm J; Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Roessler N, Vetterlein MW |
| Συλλογικό Έργο: | Trauma, Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists |
| Πηγή: | Current opinion in urology [Curr Opin Urol] 2026 Jul 01; Vol. 36 (4), pp. 369-373. Date of Electronic Publication: 2026 Mar 05. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9200621 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-6586 (Electronic) Linking ISSN: 09630643 NLM ISO Abbreviation: Curr Opin Urol Subsets: MEDLINE |
| Imprint Name(s): | Publication: 1999- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: London, UK : Current Science Ltd., c1991- |
| Ιατρικοί όροι (MeSH): | Cystectomy*/methods , Cystectomy*/adverse effects , Robotic Surgical Procedures*/adverse effects , Robotic Surgical Procedures*/methods , Urethra*/surgery , Urinary Bladder*/surgery , Plastic Surgery Procedures*/methods , Plastic Surgery Procedures*/adverse effects , Urethral Stricture*/surgery , Urethral Stricture*/etiology, Anastomosis, Surgical/adverse effects ; Urinary Diversion/methods ; Urinary Diversion/adverse effects ; Humans ; Treatment Outcome ; Male |
| Περίληψη: | Purpose of Review: While robot-assisted surgery has rapidly expanded within reconstructive urology, debate persists regarding where it can be applied most effectively and where open surgery remains the more suitable option. The question is no longer whether robot-assisted reconstruction is feasible, but rather when it represents the most appropriate approach. Recent Findings: Recent evidence indicates that both open and robot-assisted techniques achieve comparable short-term outcomes in the management of vesicourethral anastomotic stenosis, despite addressing a highly heterogeneous condition. Similarly, robot-assisted intracorporeal radical cystectomy offers no demonstrable advantage over open radical cystectomy with respect to key clinical outcomes. A notable emerging trend is the decline in continent urinary diversions, possibly reflecting the technical challenges of robot-assisted intracorporeal reconstruction and evolving institutional preferences. Summary: Open surgery remains the standard for perineal and external genital reconstructive procedures, whereas robot-assisted approaches are best suited for transabdominal reconstructions. Deep vesicourethral anastomotic stenoses involving the external sphincter should be managed through an open transperineal approach. Notably, during the decade of widespread robotic adoption, the rate of continent urinary diversions has declined significantly. (Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved.) |
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| Contributed Indexing: | Keywords: cystectomy; robotic surgical procedures; urinary diversion; urologic surgical procedures; vesicourethral anastomosis |
| Entry Date(s): | Date Created: 20260421 Date Completed: 20260608 Latest Revision: 20260608 |
| Update Code: | 20260609 |
| DOI: | 10.1097/MOU.0000000000001374 |
| PMID: | 42011700 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1473-6586 |
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| DOI: | 10.1097/MOU.0000000000001374 |