COMPLICATIONS OF MINIMALLY INVASIVE RADICAL CYSTECTOMY Rene Sotelo*, Caracas, Venezuela, Erik Castle, Phoenix, AZ, Octavio Castillo, Providencia, Chile, Camilo Giedelman, Matteo Spinelli, Jose Saavedra, Robert De Andrade, Oswaldo Carmona, Caracas, Venezuela, David Canes, Boston, MA, Carlos Rodriguez, Caracas, Venezuela INTRODUCTION AND OBJECTIVES: Open Radical Cystectomy is the standard treatment for high grade and muscle invasive bladder cancer, with the significant potential of early complications even in the most experienced hands and in high volume center. Over the last decade, we have witnessed the emergence and progression of minimally invasive surgery in urology including radical cystectomy. Any new technique applied to the treatment of invasive bladder cancer must be safe, maintain similar oncological principles as ORC, and provide similar options for lower urinary tract reconstruction. While many complications of radical cystectomy are shared between approaches, recognition and management in the robotic and laparoscopic surgery environment poses unique challenges. The goal of this video is to present graphic illustrations of complications during robotic or laparoscopic radical cystectomy. METHODS: A multi-institutional collection of surgical videos was compiled. These videos illustrate vascular injury, rectal injury, benign ureteral strictures and the presence of vesicovaginal fistula after surgery. Management techniques are illustrated where appropriate. RESULTS: This video shows the possible complications and how often they are encountered, comparing the different approaches, open, laparoscopic and robotic. In addition, short and middle term complications in patient after Minimally invasive Radical Cystectomy are characterized. CONCLUSIONS: RARC and LRC must reproduce the robust oncological outcomes seen with ORC while attempting to minimize perioperative morbidity. RARC and LRC incurs acceptably low postoperative morbidity, with the vast majority of complications being low grade. High-grade complications are infrequent and similar to those encountered after ORC. Complications are similar in all approaches, but may be surgeon or technique related. Early recognition and appropriate management is essential when these complications occur. Source of Funding: none