Bladder Cancer and Robotic Bladder Cancer Surgery
Bladder cancer is a type of malignancy arising out of the urinary bladder in which abnormal cells multiply without control. A bladder is a hollow and a muscular organ about the size of a grape fruit that stores urine and is located in the pelvis. Bladder cancer causes blood in the urine.
According to statistics, bladder cancer is the 4th most common cancer in men and 9th most common cancer in women in the world with 350,000 new cases registered every year. It roughly claims of 145,000 lives annually. Men are 3/4th times more prone to bladder cancer compared to women. Genetic factors, family history, lifestyle such as rate of smoking or drinking are some of the issues causing bladder cancer. It is most common among certain ethnic groups such as South and East European countries, parts of Africa, the Middle East and North America. In USA also bladder cancer is the 4th most common cancer among men and 9th most in women.
Robotic Bladder Cancer Surgery at CRS
Robotic bladder surgery, bladder reconstruction surgery and other bladder related conditions has come a long way in the last few decades. From open to laparoscopic to now robotic — bladder cancer surgery has become safer and more effective thanks to the technological advancements involving robotic surgery in India.
At Centre for Robotic Surgery – A leading bladder cancer treatment center in India, the innovative robotic surgery technique is used to conduct various bladder related surgeries including:
- Robotic Cystectomy and Partial Cystectomy
- Cystectomy with Neobladder
- Cystectomy with Ileal Conduits
Robotic Cystectomy and Partial Cystectomy
With the help of a robotic surgical system such as the da vinci surgical system used at Centre for Robotic Surgery – A bladder cancer surgery center in India, even complicated bladder cancer surgery can be performed effectively. Robotic bladder cancer surgery offers various advantages to the robotic surgeons during operation due to which vital and delicate nerves and muscle tissues are spared, leading to faster recovery of the patients.
Bladder Reconstruction Surgery
The da Vinci Robotic Surgery System is especially useful in bladder reconstruction surgeries which may sometimes be required after a cystectomy. With the help of the da vinci robotic surgical system , the robotic surgeon gets enhanced dexterity and visualization required during the reconstruction process, which has significant advantages over the traditional open and laparoscopic surgeries.
Benefits of Robotic Bladder Cancer Surgery
The state-of-the-art da Vinci Surgical System provides several advantages to both the robotic surgeon and the patient in a robotic cystectomy as well as other robotic bladder surgeries.
For Robotic surgeons, the benefits include:
- A high-definition, 3-D view of the ongoing procedure
- Better dexterity
- Better precision due to filtering of hand tremors
- More degrees of freedom compared to human hand
As a result of the above, bladder cancer treatment offers the following benefits to the patients:
- Spares delicate nerves and muscle tissue
- Small keyhole-sized incisions and hence, fewer scars
- Shorter hospital stay
- Quicker return to normal activity level
- Reduced risk of blood loss as well as blood transfusion
- Reduced risk of post-operative infections
- Much less pain post the surgery
- Faster regain of normal urine control and sexual functions compared to open surgery
Bladder Cancer Surgery : Post-Operative Care
- After the robotic bladder surgery operation, patient is usually kept in the postoperative ICU for 48 to 72 hours.
- The patient is actively monitored during this period for any complications.
- Usually we advise patient to move lower limbs and actively do chest physiotherapy exercises within the same evening.
- The patient is asked to sit on the next postoperative day.
- He is ambulated fully on the second postoperative day.
- Depending on the abdominal fullness, the tube that is placed in the stomach through the nostrils is removed on either 2nd or the 3rd postoperative day.
- The bladder catheter tube is washed with saline water to get rid of mucus every eight hourly interval.
- Once the patient is comfortable, he is shifted out of the ICU and kept in the rooms before discharge.
- A drain is monitored for output and is generally removed once the output is less than 100 ml.
- Usually patient starts tolerating food on the 3rd day. If the treating Robotic surgeon delays it, then he/she is supplemented with intravenous energy fluids.
- The patient normally goes out of the hospital with a bladder tube on 5th or 6th postoperative day.
- The catheter remains for a period of 3 weeks and then is removed after a small procedure under fluoroscopy.
- We ask the patient to be admitted for a day or two after catheter removal in the 3rd postoperative week. Patient is again monitored for normal voiding and any deviation thereby.