<p>Robot-assisted radical cystectomy (RARC) has gained widespread acceptance as a minimally invasive approach for the treatment of bladder cancer, accompanied by a rapidly expanding body of related literature. Nevertheless, a comprehensive overview of global research trends and the underlying knowledge structure in this field remains insufficient. In this study, we retrieved and analyzed 1501 RARC-related publications from the Web of Science Core Collection spanning 2003 to 2025, employing bibliometric and visualization techniques to evaluate publication output, citation patterns, international collaboration networks, and keyword co-occurrence. The results demonstrate a steady increase in annual publications, with a pronounced surge observed after 2020. Early investigations predominantly focused on the feasibility and safety of the procedure, whereas more recent studies have increasingly emphasized perioperative outcomes, urinary diversion techniques, particularly intracorporeal urinary diversion, lymph node dissection, and the influence of surgical experience. Highly cited publications are largely composed of comparative studies and randomized controlled trials assessing perioperative and oncological outcomes. Overall, global RARC research has evolved from an initial focus on technical feasibility toward outcome-oriented and quality-centered investigations. However, long-term oncological outcomes and patient-centered endpoints remain relatively underrepresented. This bibliometric analysis not only delineates the evolving research landscape of RARC but also identifies key gaps and priority areas for future research, thereby providing evidence-based guidance to inform clinical practice and shape future research agendas in this field.</p>