Anderson AL, Tollefson MK, Frank I, et al. - In this study, robotic assisted radical cystectomy (RARC) is compared with open radical cystectomy (ORC) in terms of postoperative pulmonary complications. Findings indicate RARC recipients were not at increased risk for ventilator induced lung injury due to receipt of ventilation at higher pressures, including even those who were conventionally higher risk patients.

• In this retrospective chart review, 328 adult patients who underwent ORC and 108 patients who underwent RARC for invasive bladder cancer were analyzed.

• Despite mechanical ventilation challenges, RARC was not linked with increased postoperative pulmonary complications than ORC.

• This was also identified in those with body mass index >30 or with diagnosis or high suspicion of obstructive sleep apnea.

• A less intraoperative fluid administration, fewer ICU admissions, and reduced length of hospital stay were reported in patients who underwent RARC.