This is the first report of that lymph nodes in the immediate fat surounding the prostate may harbor prostate cancer. This manuscript demonstrate the importance of removing the fat overlying the prostate and submitting it for pathologic evaluation.

This report is yet another demonstration of the advantages of robotic surgery in the treatment of patients with urologic cancers including bladder and urothelial.

The manuscript demonstrates the advantages of robotic surgery over standard laparoscopy in the performance of radical cystectomy and pelvic lymphadenectomy for invasive bladder cancer.

The manuscript demonstrates that the most important risk factors for a positive surgical margin during robotic radical prostatectomy are pre-operative PSA and PSA density, as well as the pathologic stage and Gleason Grade.

This is the first description in North America whereby a radical cystectomy, bilateral pelvic lymph node dissection and continent orthotopic urinary diversion was performed for invasive bladder cancer entirely with the DaVinci robot.