This document replaces previous guidance on laparoscopic cystectomy (Interventional Procedure Guidance 26).
1.1 Current evidence on the safety and efficacy of laparoscopic cystectomy appears adequate to support the use of this procedure provided that normal arrangements are in place for clinical governance, consent and audit.
1.2 Patient selection for laparoscopic cystectomy should involve a multidisciplinary team experienced in the management of bladder cancer.
1.3 Clinicians undertaking laparoscopic cystectomy should have special training. The British Association of Urological Surgeons (BAUS) has produced training standards.
1.4 Clinicians should submit data on all patients undergoing this procedure to the BAUS Cancer Registry & Sections Audit with a view to further publication on long-term survival outcomes.