For most bladder cancers, surgery is a big part of the treatment. Depending on the stage of the cancer, the type of surgery required depends upon the stage of cancer. When the bladder cancer has progressed to an advanced stage, a part of or the complete bladder may need to be removed. This type of surgery is known as Cystectomy.
Types of Cystectomy
Following are the main types of Cystectomy procedures:
1. Partial Cystectomy: This type of procedure can be done for those cases in which the cancer is not very large and present only in a single site. In such a case, just the cancerous portion along with a small part of the bladder can be removed instead of the whole bladder.
As a result, the patient can keep his bladder and doesn’t require any reconstructive surgery. Though, due to the removal of bladder portion, the amount of urine it can hold is less, leading to the issue of frequent urination. An important point to note about partial cystectomy is that there are chances of the cancer developing in another part of the bladder wall.
2. Radical Cystectomy: When the cancer is large or has spread to more than one parts of the bladder, radical cystectomy operation is required. In this, the entire bladder and nearby lymph nodes are removed. Additionally, the prostate and seminal vesicles in men and the ovaries, fallopian tubes, uterus, cervix, and a small portion of the vagina in women may also have to be removed.
Both open as well as laparoscopic (keyhole) surgeries can be opted for a cystectomy, however, the advantages of laparoscopic are definitely higher.
Robotic Radical Cystectomy
Laparoscopic surgeries have been preferred by surgeons and oncologists for the last many years due to their minimally invasive and nerve-sparing features. With the advent of robotic surgery in the last decade, minimally invasive surgery has been propelled to an even higher level. While the traditional open surgeries would lead to significant blood loss, increased risks and complications, and tissue and nerve damage, robotic surgeries have overcome these disadvantages.
Robotic radical cystectomy, done is most of the robotic surgery centres using the da Vinci surgical method, is an advanced and more efficient method of surgery for bladder cancer. The surgeon controls the robotic arms to conduct a more precise and effective surgery. To learn more about how robotic surgery works, please click here.
Advantages of Robotic Cystectomy
The robotic surgery for bladder cancer has the following main advantages over open surgery:
1. Smaller incisions that do not damage that delicate nerves and muscle tissues.
2. Smaller scars
3. Lesser pain
4. Lesser blood loss
5. Faster recovery time leading to shorter hospital stay
6. Lesser risk of post-operative risks and complications
It is important to note that any type of surgery has inherent risks and side-effects, however, with robotic surgery, these complications can be greatly reduced.
To learn more about the possible treatments for bladder cancer and other bladder related issues, please contact our experts here.