{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T23:10:07Z","timestamp":1790982607330,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T00:00:00Z","timestamp":1735084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the feasibility and safety of robotic\u2010assisted salvage radical cystectomy (RA\u2010SRC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We retrospectively searched the prospectively collected surgical database of two highly experienced robotic urological surgeons for cases of RA\u2010SRC, defined as RARC performed post\u2010previous pelvic RT for palliative or oncologic treatment purposes. Collected data included demographic and clinical information and outcome measures including operative course, hospital stay and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighteen patients were included in the current analysis. All patients had previous RT to the pelvis with 12 patients also having prior radical pelvic surgery. Indications for salvage cystectomy were either palliation (<jats:italic>n<\/jats:italic>\u2009=\u200912) or oncological (MIBC or high risk NMIBC, <jats:italic>n<\/jats:italic>\u2009=\u20096). There were no intraoperative complications and no conversions to open surgery. Ninety day postoperative complications were recorded in 11 patients (61.1%), with major complications (Clavien\u2013Dindo grades 3 and 4) in three patients (16.6%). After a median follow\u2010up of 43.5\u00a0months, one late postoperative complication was observed requiring surgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our data, together with the limited published data from other cohorts of RA\u2010SRC, suggest that in experienced hands, RA\u2010SRC is feasible, with intraoperative and perioperative complication rates that are lower than the published data for open SRC and are equivalent to open primary RC. These data will contribute to treatment decision making both in patients with post\u2010pelvic radiation symptoms requiring palliation and patients with MIBC considering or treated with trimodal treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.459","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T00:40:16Z","timestamp":1735173616000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The feasibility and safety of robotic\u2010assisted salvage radical cystectomy"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9010-5903","authenticated-orcid":false,"given":"Gal","family":"Rinott Mizrahi","sequence":"first","affiliation":[{"name":"The Royal Melbourne Hospital  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8553-5618","authenticated-orcid":false,"given":"Nathan","family":"Lawrentschuk","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital  Parkville Victoria Australia"},{"name":"Epworth Hospitals  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Thomas","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital  Parkville Victoria Australia"},{"name":"Epworth Hospitals  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8581-5051","authenticated-orcid":false,"given":"Philip","family":"Dundee","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital  Parkville Victoria Australia"},{"name":"Epworth Hospitals  Melbourne Victoria Australia"},{"name":"St Vincent's Private Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.03.055"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14636"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0000000000000805"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.12.002"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2004.05034.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.20517\/2574-1225.2021.52"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.7393"},{"issue":"1","key":"e_1_2_7_9_1","first-page":"14","article-title":"Robotic intracorporeal urinary diversion: practical review of current surgical techniques","volume":"69","author":"Dal Moro F","year":"2017","journal-title":"Urol Nefrol"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.08.007"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.07.031"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.05.032"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02982-6"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001696"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0627"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.03.033"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-022-01416-7"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.459","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T20:57:20Z","timestamp":1759957040000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.459"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,25]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/bco2.459"],"URL":"https:\/\/doi.org\/10.1002\/bco2.459","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,25]]},"assertion":[{"value":"2024-04-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e459"}}