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Hand-assisted laparoscopic cystoprostatectomy and urinary diversion
David E McGinnis1, Scott G Hubosky, Leigh S Bergmann
1Department of Urology, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania, USA. demcginnismd@hotmail.com
Journal of Endourology
|July 16, 2004
Summary
Hand-assisted laparoscopic cystoprostatectomy and diversion (HALCD) is a novel surgical approach for muscle-invasive bladder cancer. This minimally invasive technique demonstrates promising short-term outcomes, including reduced operative time and hospital stay.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Radical cystoprostatectomy with urinary diversion is a standard treatment for muscle-invasive bladder cancer.
- Laparoscopic techniques are increasingly explored to minimize surgical morbidity.
Purpose of the Study:
- To report the initial clinical experience and outcomes of hand-assisted laparoscopic cystoprostatectomy and diversion (HALCD).
Main Methods:
- Seven patients with muscle-invasive bladder cancer underwent HALCD.
- Bladder excision was performed laparoscopically, with the ileal conduit created through the hand port incision.
Main Results:
- The mean operative time was 7.6 hours.
- Mean blood loss was 420 mL.
- The mean postoperative hospital stay was 4.6 days.
Conclusions:
- Hand-assisted laparoscopy provides advantages such as tactile feedback, improved retraction, and potentially faster procedure times.
- HALCD represents a feasible minimally invasive option for radical cystoprostatectomy with acceptable short-term outcomes.