da Vinci^® Cystectomy (Bladder Cancer)

Finding out you have bladder cancer may be one of the hardest things you’ve faced. That’s why it’s important to learn the facts about your condition before choosing the best path forward.

Know Your Options

Bladder cancer surgery is known as a cystectomy. If your doctor suggests surgery, a cystectomy can be done using open surgery through one large incision (cut). It can also be done using minimally invasive – through a few small incisions – with traditional laparoscopy or da Vinci® Surgery.

Why da Vinci Surgery?

The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:

• A 3D HD view inside your body
• Wristed instruments that bend and rotate far greater than the human hand
• Enhanced vision, precision and control

da Vinci Cystectomy offers the following potential benefits compared to traditional open surgery:

• Lower risk of major and overall complications ^1,2
• Less blood loss1,2,3 lower rate of blood transfusions ^1,2,3
• Less need for narcotic pain medicine after surgery; ^3,4,5
• Quicker return to a normal diet ^6,7
• Shorter hospital stay ^1,3,6,7
• Quicker recovery of bowel function ^4,8
• Minimal scarring
• Better lymph node removal yield ^2,7

The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.

Risks & Considerations Related to Cystectomy (removal of all/part of the bladder): leaking of urine, injury to the rectum, scar tissue that causes narrowing between two connected structures, fistula (abnormal bond of an organ, intestine or vessel to another part of the body), leaking of urine, urgent need to urinate, cannot get or keep an erection, abnormal pooling of lymph fluid.

1. Kader A, Richards K, Krane L, Pettus J, Smith J, Hemal A. Robot-assisted laparoscopic vs open radical cystectomy: comparison of complications and perioperative oncological outcomes in 200 patients. BJU International. 2013;112(4):E290-E294. doi:10.1111/bju.12167.
2. Musch M, Janowski M, Steves A et al. Comparison of early postoperative morbidity after robot-assisted and open radical cystectomy: results of a prospective observational study. BJU International. 2013;113(3):458-467. doi:10.1111/bju.1237
3. Trentman T, Fassett S, McGirr D et al. Comparison of anesthetic management and outcomes of robot-assisted versus open radical cystectomy. J Robotic Surg. 2012;7(3):273-279. doi:10.1007/s11701-012-0379-7.
4. Nix J, Smith A, Kurpad R, Nielsen ME, Wallen EM, Pruthi RS. Prospective Randomized Controlled Trial of Robotic versus Open Radical Cystectomy for Bladder Cancer: Perioperative and Pathologic Results, Eur Urol 2009, doi: 10.1016/j.eururo.2009.10.024.
5. Guru, K. A. W., G. E.; Piacente, P.; Thompson, J.; Deng, W.; Kim, H. L.; Mohler, J.; O'Leary, K. Robot-assisted radical cystectomy versus open radical cystectomy: assessment of postoperative pain. Can J Urol 2007 14(6): 3753-3756.
6. Wang GJ, Barocas DA, Raman JD, Scherr DS.Robotic vs open radical cystectomy: prospective comparison of perioperative outcomes and pathological measures of early oncological efficacy. BJU Int. 2008 Jan;101(1):89-93. Epub 2007 Sep 20.
7. Koo K, Yoon Y, Chung B, Hong S, Rha K. Analgesic Opioid Dose Is an Important Indicator of Postoperative Ileus Following Radical Cystectomy with Ileal Conduit: Experience in the Robotic Surgery Era. Yonsei Medical Journal. 2014;55(5):1359. doi:10.3349/ymj.2014.55.5.1359.
8. Pruthi R, Wallen E. Robotic Assisted Laparoscopic Radical Cystoprostatectomy: Operative and Pathological Outcomes. The Journal of Urology. 2007;178(3):814-818. doi:10.1016/j.juro.2007.05.040.

PN 1002147 Rev C 10/2016

Important Safety Information

Patients should talk to their doctors to decide if da Vinci® surgery is right for them. Patients and doctors should review all available information on nonsurgical and surgical options and associated risks in order to make an informed decision. 

Serious complications may occur in any surgery, including da Vinci surgery, up to and including death. Serious risks include, but are not limited to, injury to tissues and organs and conversion to other surgical techniques, which could result in a longer operative time and/or increased complications. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.intuitive.com/safety.

Individuals' outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics, and/or surgeon experience.

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©2019 Intuitive Surgical, Inc. All rights reserved. Product names are trademarks or registered trademarks of their respective holders. The information on this website is intended for a United States audience only.

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This website does not provide medical advice. If you think you have a medical emergency, call your doctor or 911 immediately.

The materials on this website are for general educational information only. Information you read on this website cannot replace the relationship that you have with your healthcare professional. Intuitive Surgical does not practice medicine or provide medical services or advice and the information on this website should not be considered medical advice. You should always talk to your healthcare provider for diagnosis and treatment. Health information changes quickly. Therefore, it is always best to consult with your healthcare provider.

If you have questions about the da Vinci® Surgical System or about surgical procedures conducted with the da Vinci Surgical System, consult a surgeon that has experience with the da Vinci Surgical System. A list of surgeons that have experience with the da Vinci Surgical System can be found in the Surgeon Locator.

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