Bladder Cancer Surgery
Phil performs robotic cystectomy (removal of the bladder) for all patients with advanced bladder cancer. The advantages of this technique over open surgery include lower blood loss and blood transfusion rates, less pain post-operatively and shorter hospital stay.
Phil performed the first cystectomy with robotic reconstruction in Melbourne and offers this approach to all patients requiring removal of the bladder, including those suitable for neobladder reconstruction (creation of a new bladder from small intestine). Phil has one of the highest case volumes of this approach in Australia and published the first Australian series of robotic cystectomy in 2018.
Robotic Surgery to treat Bladder Cancer
Bladder cancer is a significant health concern affecting thousands of men and women in Australia each year. Characterised by abnormal cell growth in the bladder lining, it can lead to aggressive disease with rapid progression if not treated promptly. Whilst most patients can be managed with endoscopic techniques (via a camera and instruments inserted through the urethra or “waterpipe”) and bladder preservation, more advanced disease requires removal of the bladder (an operation called cystectomy).
Following removal of the bladder “urinary diversion” is performed with either an ileal conduit for drainage of urine into a bag worn over the abdomen, or with a neobladder, whereby a new bladder is constructed from the small bowel.
Why should patients consider Robotic Prostatectomy?
- Smaller Incisions: This reduces post-operative pain and allows for quicker recovery. Patients undergoing robotic surgery experience fewer complications associated with larger surgical wounds such as wound infection or wound breakdown (dehiscence).
- Quicker Recovery Times: Patients undergoing robotic-assisted laparoscopic cystectomy typically leave the hospital sooner and can return to their daily activities faster than those who have undergone open surgery.
Robotic surgery is a less invasive approach to bladder removal compared to open surgery. Robotic surgery offers a minimally invasive approach to bladder removal compared to traditional open surgery. Key advantages include:
Minimally Invasive Techniques
- 3D Visualisation: The robotic system provides a high-definition, 3D view of the surgical field, allowing for meticulous dissection and preservation of surrounding structures, such as the nerves required for erectile function.
- Improved Dexterity: The robotic systems have tremor filtration and motion scaling, allowing surgeons to manipulate the instruments with greater control, reducing the risk of complications whilst removing the bladder.
- Reduced blood loss: Published blood transfusion rates for open cystectomy approach nearly 50% in comparison to 15% following robotic assisted laparoscopic cystectomy.
The use of robotic systems, such as the Intuitive da Vinci Surgical System, allows surgeons to operate with unparalleled precision, which is especially important in bladder cancer treatment:
Enhanced Precision and Control
For patients diagnosed with bladder cancer that requires removal of the bladder, robotic surgery should be considered the optimal approach. Always consult with a healthcare provider to explore the best treatment options available.
Choosing a skilled surgeon is critical for successful outcomes in bladder cancer treatment. Philip Dundee is recognised as a leading expert in robotic surgery, ensuring that patients receive the highest level of care.
