Robotic Partial Cystectomy

Robotic Surgery for Bladder Cancer

Robot-assisted partial cystectomy can be used to surgically treat certain invasive bladder cancers that involve a single favorable site in the bladder such as the dome. In this procedure, the tumor and a small amount of bladder tissue surrounding it are removed. Because the majority of the bladder is left intact, the patient is able to retain normal bladder function following the procedure. While this approach is not applicable to most patients with bladder cancer, it can be extremely effective in carefully selected cases. Additionally, this procedure can be performed for benign disease of the bladder such as diverticulum, or for patients with urachal abnormalities.

How Robotic Partial Cystectomy is Performed

Working through a series of small incisions in the abdomen, the surgeon manipulates the robot’s instrument arms to separate the connective tissue surrounding the bladder and cut the bladder open. The affected area and frequently a small amount of normal surrounding tissue are then excised, after which the bladder is sutured shut and the excised tissue removed through one of the incisions. If the procedure is performed for invasive cancer, the surgeon will also perform a pelvic lymph node dissection at the same time to determine whether the cancer has spread beyond the bladder and to accurately stage the cancer. Follow-up treatment may be required for patients with invasive cancers.

Advantages of Robotic Partial Cystectomy

Less blood loss and scarring than open surgery. A robotic partial cystectomy results in significantly less blood loss during surgery, while the procedure’s small incisions avoid the need for a large, disfiguring scar. 
Increased surgical precision. One of the most important advantages of a robotic partial cystectomy is the high precision and suberb, 3-D high-definition view of the pelvic organs offered by the da Vinci Si surgical robot. In the hands of an experienced robotic surgeon, these capabilities can greatly facilitate the delicate dissection and suturing required in this procedure. The da Vinci also allows excellent exposure of areas that can be difficult to visualize in an open approach.
Robotic surgery makes it easier for the surgeon to perform a lymph node dissection.In a partial cystectomy, the regional lymph nodes may be removed as part of the procedure. By utilizing the da Vinci Si surgical robot, with its superior range of motion, urologic surgeons at NYU Langone’s Robotic Surgery Center can perform a more extensive lymph node dissection than was previously possible with less-advanced robotic systems.

Robotic Partial Cystectomy at NYULMC

Urologic surgeons at our Robotic Surgery Center are highly skilled at a wide range of robotic procedures, including robotic partial cystectomy for bladder cancer. The bladder cancer program at NYULMC is spearheaded by Dr. William Huang, one of the most experienced surgeons in the tri-state area at performing both open and robotic cystectomies. One of the few urologic surgeons in New York who is fellowship-trained in both minimally-invasive surgery and oncology, he has one of the highest-volume cystectomy practices in the Northeast. Dr. Samir Teneja is one of the world’s leading urologic surgeons, and has performed numerous robotic procedures. As members of the NYU Cancer Institute, Dr. Huang and Dr. Taneja work closely with the institute’s medical oncologists and radiation oncologists to provide bladder cancer patients with unsurpassed care and attention. Our surgeons are also supported by NYU Langone’s world-leading bladder cancer researchers, who are actively investigating new therapies to prevent the recurrence and progression of bladder cancer, as well as new treatment regimens for advanced bladder cancer.

Research by NYULMC Physicians on Robotic Partial Cystectomy

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