Re: Khan et al.: analysis of early complications of robotic-assisted radical cystectomy using a standardized reporting system (Urology 2011;77:357-362).

摘要

In this article, the authors report the frequency and the perioperative morbidity observed in a cohort of bladder cancer patients treated by robotic-assisted laparoscopic cystectomy (RALC) and open urinary diversion. The results show that the complication rate is 34% according to the Clavien classification, including 5 patients that had to be reoperated. The authors conclude that RALC with urinary diversion is still a technique with a high morbidity rate, which, in our opinion, raises the question of whether this surgical option should be labeled as minimally invasive. We congratulate the authors for this comprehensive and nonpartisan report on issue that deserves much attention because of the impact on the surgical management of high-risk transitional cell carcinoma.