Cystectomy | Robotic Surgery | Apex Hospitals, Jaipur

What is Robotic cystectomy?

Robotic cystectomy is a minimally invasive procedure used to remove the bladder, offering cancer removal outcomes comparable to traditional open surgery. In this technique, urologists specially trained in robotic surgery use a surgical robot to remove the bladder and reconstruct the urinary tract. Radical cystectomy is typically performed when bladder cancer has invaded the muscle layer. Unlike open cystectomy, which requires a large incision to remove the bladder, robotic-assisted surgery involves smaller incisions, resulting in less trauma and quicker recovery.

Who needs a robotic cystectomy?

A robotic cystectomy is typically recommended for individuals with specific bladder conditions, primarily bladder cancer. Here are the critical situations where a robotic cystectomy may be necessary:

1. Muscle-Invasive Bladder Cancer:

Robotic cystectomy is commonly performed in patients with muscle-invasive bladder cancer, where the cancer has spread into the muscle layer of the bladder wall. A radical cystectomy, which involves removing the entire bladder, may be required in such cases.

2. High-Risk Non-Muscle Invasive Bladder Cancer:

In patients with non-muscle-invasive bladder cancer that has not responded to other treatments or where there is a high risk of cancer progression, a cystectomy may be recommended to prevent further spread.

3. Recurrent Bladder Cancer:

Individuals whose bladder cancer has returned despite treatment (e.g., chemotherapy, radiation, or immunotherapy) might need a robotic cystectomy to remove the affected bladder tissue entirely.

4. Large or Aggressive Tumours:

For patients with large or aggressive tumours that cannot be effectively treated with less invasive methods, a cystectomy may be required to ensure the complete removal of cancerous tissue.

5. Non-Cancerous Bladder Conditions:

In some cases, a robotic partial cystectomy may be performed for non-cancerous conditions such as severe bladder dysfunction, benign tumours, or certain birth defects that affect bladder function.

A consultation with our urologist is necessary to determine if robotic cystectomy is the best option based on the patient’s specific diagnosis and overall health.

Robotic Surgery System at Apex Hospitals

Robotic cystectomy is performed using the SSI MANTRA surgical system. This cutting-edge, India-made robotic platform enables surgeons to operate on the urinary bladder with superior vision, control, and precision, all at an affordable cost. Our advanced program is supported by highly skilled surgeons, nurses, and technicians, all trained to utilize this technology expertly. By minimizing surgical trauma, we strive to improve our patients' long-term survival rates and enhance their overall quality of life.

What are the risks associated with robotic cystectomy?

While robotic cystectomy is a minimally invasive procedure, it still carries certain risks, similar to other major surgeries. The potential risks and complications include:

1. Infection: As with any surgery, there is a risk of infection at the incision sites or internally, particularly in the urinary or abdominal area.

2. Bleeding: There is a risk of significant blood loss during the procedure, although robotic surgery typically results in less bleeding than open surgery.

3. Blood Clots: Surgery increases the risk of blood clots, particularly in the legs (deep vein thrombosis), which can potentially travel to the lungs (pulmonary embolism).

4. Urinary Dysfunction: After the surgery, patients may experience changes in urinary function, mainly if the urinary diversion (new way for urine to exit the body) does not function properly or causes complications.

What happens during robotic cystectomy?

Robotic cystectomy is performed under general anaesthesia, allowing the surgeon to operate through a robotic console that controls the surgical instruments attached to robotic arms. Once the patient is anesthetized, the surgeon makes small incisions in the abdomen to insert the robotic laparoscope. This laparoscopic tool is equipped with a camera and necessary surgical instruments. Upon entering the abdomen, it is inflated with gas, providing a clear view of the internal organs displayed on monitors.

Using the robotic instruments, the surgeon carefully removes cancerous tissue from the bladder, lymph nodes, and any other suspicious areas. If urinary tract reconstruction is needed, the surgeon may perform it using robotic assistance or a traditional open approach, depending on the patient's condition.

Robotic technology allows for high precision, minimizing trauma to surrounding tissues and significantly reducing postoperative discomfort for the patient.

Speak to Our Team About Robotic Cystectomy

If you or a loved one is considering a robotic cystectomy, our expert team is here to provide you with the information and support you need. Whether you’re exploring treatment options for bladder cancer or seeking minimally invasive surgery for other bladder conditions, we are ready to help.

Our specialized team of surgeons is highly trained in robotic-assisted procedures, ensuring a smooth, precise, and practical treatment experience. Contact us today to schedule a consultation and learn how robotic cystectomy can benefit you. Let’s take the next step together toward better health!