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da Vinci® Cystectomy

If you’ve been diagnosed with bladder cancer and your doctor recommends surgery to remove all or part of your bladder (known as a cystectomy), ask your doctor about minimally invasive da Vinci® Surgery.

Why da Vinci Surgery?

With the da Vinci System, surgeons operate through a few small incisions instead of a large open incision - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. da Vinci enables your doctor to operate with enhanced vision, precision, dexterity and control.

As a result of da Vinci technology, da Vinci Cystectomy offers the following potential benefits compared to traditional open surgery:

  • Lower risk of major complications,1,2 including death2
  • Less blood loss1,3,4,5 and lower rate of blood transfusions1,5
  • Less need for narcotic pain medicine3
  • Quicker return to a normal diet5
  • Shorter hospital stay1,4,5
  • Quicker recovery of bowel function3,4
  • Minimal scarring

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.

Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.

Risks & Considerations Related to Cystectomy & da Vinci Surgery

Potential risks of any cystectomy procedure include: blocked bowel, urinary leak, deep vein thrombosis (blood clot often in the leg) and hernia (protruding tissue/organ). In addition to the above risks, there are special considerations related to minimally invasive surgery, including da Vinci Cystectomy, such as hernia (bulging tissue/organ) at incision site.2


  1. Ng CK, Kauffman EC, Lee MM, Otto BJ, Portnoff A, Ehrlich JR, Schwartz MJ, Wang GJ, Scherr DS. A Comparison of Postoperative Complications in Open versus Robotic Cystectomy. Eur Urol(2009) doi: 10.1016/j.eururo.2009.06.001
  2. Yu HY, Hevelone ND, Lipsitz SR, Kowalczyk KJ, Nguyen PL, Choueiri TK, Kibel AS, Hu JC. Comparative Analysis of Outcomes and Costs Following Open Radical Cystectomy Versus Robot-Assisted Laparoscopic Radical Cystectomy: Results From the US Nationwide Inpatient Sample. Eur Urol. 2012 Jun;61(6):1239-44. Epub 2012 Mar 30.
  3. Nix J, Smith A, Kurpad R, Nielsen ME, Wallen EM, Pruthi RS. Prospective Randomized Controlled Trial of Robotic versus Open Radical Cystectomy for Bladder Cancer: Perioperative and Pathologic Results, Eur Urol(2009), doi: 10.1016/j.eururo.2009.10.024.
  4. Pruthi RS, Wallen EM. Robotic assisted laparoscopic radical cystoprostatectomy: operative and pathological outcomes. J Urol. 2007 Sep;178(3 Pt 1):814-8. Epub 2007 Jul 16.
  5. Wang GJ, Barocas DA, Raman JD, Scherr DS.Robotic vs open radical cystectomy: prospective comparison of perioperative outcomes and pathological measures of early oncological efficacy. BJU Int. 2008 Jan;101(1):89-93. Epub 2007 Sep 20.

PN 1002471 Rev A 04/2013


Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.

Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.

Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci® Surgery. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety and www.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.

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