Re-establishing the Role of Robot-assisted Radical Cystectomy After the 2020 EAU Muscle-invasive and Metastatic Bladder Cancer Guideline Panel Recommendations

Francesco Montorsi¹, Marco Bandini², Alberto Briganti², Prokar Dasgupta³, Andrea Gallina², Michele Gallucci⁴, Inderbir S Gill⁵, Khurshid A Guru⁶, Ashok Hemal⁷, Mani Menon⁸, Marco Moschini⁹, Declan G Murphy¹⁰, Dipen J Parekh¹¹, Hiten D Patel¹², Hiten R H Patel¹³, Michael Stöckle¹⁴, Ash K Tewari¹⁵, Carl J Wijburg¹⁶, Peter Wiklund¹⁷, Timothy G Wilson¹⁸, Alexandre Mottrie¹⁹; EAU Robotic Urology Section Scientific Working Group

Affiliations

¹ Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy. Electronic address: montorsi.francesco@hsr.it.
² Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
³ MRC Centre for Transplantation, King's College London, Department of Urology, Guy's Hospital, London, UK.
⁴ Department of Urology, Sapienza University, Rome, Italy.
⁵ Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
⁶ Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
⁷ Department of Urology, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.
⁸ Henry Ford Health System, Detroit, MI, USA.
⁹ Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy; Klinik für Urologie, Luzerner Kantonsspital, Lucerne, Switzerland.
¹⁰ Division of Cancer Surgery, Peter MacCallum Cancer Centre, East Melbourne, Australia.
¹¹ Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA.
¹² The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
¹³ Department of Urology, University Hospital of Northern Norway, Tromsø, Norway.
¹⁴ University of the Saarland, Homburg Saar, Germany.
¹⁵ Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
¹⁶ Rijnstate Hospital, Arnhem, The Netherlands.
¹⁷ Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden.
¹⁸ John Wayne Cancer Institute, Santa Monica, CA, USA.
¹⁹ Department of Urology, Onze Lieve Vrouw Hospital, Aalst, Belgium; ORSI Academy, Melle, Belgium.

PMID: 32736929
DOI: 10.1016/j.eururo.2020.06.035

Editorial

Re-establishing the Role of Robot-assisted Radical Cystectomy After the 2020 EAU Muscle-invasive and Metastatic Bladder Cancer Guideline Panel Recommendations

Francesco Montorsi et al. Eur Urol. 2020 Oct.

. 2020 Oct;78(4):489-491.

doi: 10.1016/j.eururo.2020.06.035. Epub 2020 Jul 28.

Authors

Affiliations

¹ Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy. Electronic address: montorsi.francesco@hsr.it.
² Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
³ MRC Centre for Transplantation, King's College London, Department of Urology, Guy's Hospital, London, UK.
⁴ Department of Urology, Sapienza University, Rome, Italy.
⁵ Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
⁶ Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
⁷ Department of Urology, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.
⁸ Henry Ford Health System, Detroit, MI, USA.
⁹ Division of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy; Klinik für Urologie, Luzerner Kantonsspital, Lucerne, Switzerland.
¹⁰ Division of Cancer Surgery, Peter MacCallum Cancer Centre, East Melbourne, Australia.
¹¹ Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA.
¹² The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
¹³ Department of Urology, University Hospital of Northern Norway, Tromsø, Norway.
¹⁴ University of the Saarland, Homburg Saar, Germany.
¹⁵ Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
¹⁶ Rijnstate Hospital, Arnhem, The Netherlands.
¹⁷ Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden.
¹⁸ John Wayne Cancer Institute, Santa Monica, CA, USA.
¹⁹ Department of Urology, Onze Lieve Vrouw Hospital, Aalst, Belgium; ORSI Academy, Melle, Belgium.

PMID: 32736929
DOI: 10.1016/j.eururo.2020.06.035

Abstract

The EAU guidelines panel on muscle-invasive and metastatic bladder cancer (MIBC) recently recommended open radical cystectomy (ORC) as the best surgical approach for MIBC patients. We critically re-examine the indications for considering ORC as the first choice over robot-assisted radical cystectomy. To the best of our knowledge, this is not supported by trials or meta-analyses.

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Comment in

Reply to Francesco Montorsi, Marco Bandini, Alberto Briganti, et al. Re-establishing the Role of Robot-assisted Radical Cystectomy After the 2020 EAU Muscle-invasive and Metastatic Bladder Cancer Guideline Panel Recommendations. Eur Urol 2020;78:489-91: Can Open and Robotic Radical Cystectomy be Considered Equally Effective in 2020?
Witjes JA, Ribal MJ, van der Heijden AG. Witjes JA, et al. Eur Urol. 2020 Oct;78(4):492-493. doi: 10.1016/j.eururo.2020.07.006. Epub 2020 Jul 18. Eur Urol. 2020. PMID: 32693931 No abstract available.

Comment on

European Association of Urology Guidelines on Muscle-invasive and Metastatic Bladder Cancer: Summary of the 2020 Guidelines.
Witjes JA, Bruins HM, Cathomas R, Compérat EM, Cowan NC, Gakis G, Hernández V, Linares Espinós E, Lorch A, Neuzillet Y, Rouanne M, Thalmann GN, Veskimäe E, Ribal MJ, van der Heijden AG. Witjes JA, et al. Eur Urol. 2021 Jan;79(1):82-104. doi: 10.1016/j.eururo.2020.03.055. Epub 2020 Apr 29. Eur Urol. 2021. PMID: 32360052 Review.

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Re-establishing the Role of Robot-assisted Radical Cystectomy After the 2020 EAU Muscle-invasive and Metastatic Bladder Cancer Guideline Panel Recommendations

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Re-establishing the Role of Robot-assisted Radical Cystectomy After the 2020 EAU Muscle-invasive and Metastatic Bladder Cancer Guideline Panel Recommendations

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