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Laparoscopic radical cystectomy with urinary diversion.

Alireza Moinzadeh¹, Inderbir S Gill

¹Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Current Opinion in Urology

|April 13, 2004

Summary

Laparoscopic radical cystectomy is increasingly used for bladder cancer surgery. Further research is needed to confirm its long-term effectiveness and role in oncological outcomes.

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Area of Science:

Urology
Surgical Oncology

Background:

Laparoscopic surgery is established for kidney, adrenal, and prostate procedures.
Radical cystectomy is a key treatment for bladder cancer.

Purpose of the Study:

To review current experience with laparoscopic radical cystectomy.
To determine the role of this technique in oncological bladder surgery.

Main Methods:

Review of worldwide experience with laparoscopic radical cystectomy.
Analysis of evolving extracorporeal and intracorporeal reconstruction techniques for urinary diversion.

Main Results:

Pure laparoscopic techniques are utilized for the extirpative phase of radical cystectomy.
Over 150 cases have been reported globally.

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Techniques for urinary diversion are continuously evolving.

Conclusions:

Laparoscopic radical cystectomy is gaining acceptance and is performed at numerous centers.
Long-term oncological and functional data are essential to establish its definitive role.