192 Chapter 7 Study population The surgical team on the OR will be the study population. Individual permissions will be obtained from all members of the surgical team, i.e. urologists, OR nurses, and anaesthesiologists. The surgeries will be performed by three urologists, one surgeon will perform all open radical cystectomy’s (Open Radical Cystectomy), one surgeon will perform all Robot Assisted Radical Cystectomy’s in the Catharina Hospital Eindhoven, and one surgeon will perform all Robot Assisted Radical Cystectomy’s and Open Radical Cystectomy’s in the Antoni van Leeuwenhoek hospital. The OR nurses for each Open Radical Cystectomy and Robot Assisted Radical Cystectomy in the Catharina Hospital Eindhoven will be selected based on shift schedules from the experienced dedicated team of six urology OR nurses. The OR nurses for each surgery in the Antoni van Leeuwenhoek hospital will be selected from the experienced dedicated team of six urology OR nurses. The anaesthesiologists will be randomly selected for each surgery form the total number of anaesthesiologists who have signed an informed consent form. All team members have worked together before. After five Robot Assisted Radical Cystectomy procedures a survey based on the survey developed by McBride, et al.24 (appendix 1) will be held with the OR nurses in the Catharina Hospital Eindhoven in order to investigate the view of the OR nurses on the potential benefits of Robot assisted surgery. All surgeons will be asked what level of prior experience/training they have prior to the start of the study. Inclusion criteria Patients who will undergo either an Open Radical Cystectomy (Open Radical Cystectomy) or Robot Assisted Radical Cystectomy (Robot Assisted Radical Cystectomy) in Catharina Hospital Eindhoven or Antoni van Leeuwenhoek hospital are eligible for this study. The choice of treatment is at the discretion of the patient and the surgeon. For study inclusion, the following criteria must be met: - Patients must be at least 18 years of age. - patients must be able to understand and sign an informed consent. - Patients who will undergo either an Open Radical Cystectomy (Open Radical Cystectomy) or Robot Assisted Radical Cystectomy (Robot Assisted Radical Cystectomy) in Catharina Hospital Eindhoven or Antoni van Leeuwenhoek hospital. - Indication for the radical cystectomy must be urothelial cell carcinoma of the bladder.
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