Abstract: Incidence of bladder cancer in China has increased dramatically in recent years，the trend of the radical cystectomy for muscle layer of the main method of invasive bladder cancer treatment，the surgical technology under the condition of constant innovation and upgrading，robot assisted laparoscopic radical cystectomy（RARC）forward curative effect with open surgery and laparoscopic surgery，its security，feasibility has been widely recognized.Although orthotopic bladder surgery is the most ideal method of urinary diversion，uncontrollable urinary diversion is still the main choice due to the limitations of surgical conditions.The sequence of pelvic lymph dissection and expanded pelvic lymph dissection are still unable to form a unified standard.Radical cystectomy with nerve preservation，which can well preserve postoperative sexual function and urinary control，has been widely used.

Key words: bladder cancer, radical cystectomy