Urinary bladder cancer is the nine most common cancer in the world. Annually about 380000 persons are diagnosed with urinary bladder cancer and about 150000 die of this cancer.

Radical cystectomy with lymph node dissection is the golden standard treatment for muscle invasive and high-risk bladder cancer unresponsive to intravesical treatments.  

In women undergo cystectomy even uterus, ovaries and anterior part of the vagina's wall will be removed. In men, seminal vesicles and prostate gland removed. The surgery can be performed as an open or with robot-assisted technique. With the introduction of robot-assisted laparoscopic surgery, robot-assisted radical cystectomy has emerged as a more viable alternative to the open procedure.

There are several advantages of robot-assisted surgery:

- Less bleeding during surgery and lower rate of blood transfusions

- Less pain after surgery

- Less need for narcotic pain medicine

- Easier mobilization

- Shorter hospitalization and rehabilitation

- Faster return to normal daily compared to open surgery.

- Quicker recovery of bowel function

- Minimal scarring

Complications that can occur after such surgery has not been shown to be more than open technique and oncological outcome is at least as good as open cystectomy.

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. The 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.