Randomized Trial Comparing Robotic and Open Radical Cystectomy

A Prospective, Randomized Trial Comparing Robotic and Open Radical Cystectomy

The purpose of this study is to determine if using robotic surgical technology during bladder cancer surgery helps to reduce complications during and after the surgery. The removal of the bladder and lymph nodes will be done by a robotic or by an open technique. It may be a Robotic-assisted Radical Cystectomy (RARC) and Pelvic Lymph Node Dissection. Or it may be an Open Radical Cystectomy (ORC) and Pelvic Lymph Node Dissection.

Inclusion Criteria:

• Age > 18 years.
• Scheduled for radical cystectomy at MSKCC

Exclusion Criteria:

• Prior pelvic or abdominal radiation therapy;
• Prior extensive open abdominal surgery, defined by the discretion of the attending surgeon
• Any clinical contraindication for Trendelenburg positioning