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Laparoscopic radical cystectomy in the female
Alireza Moinzadeh1, Inderbir S Gill, Mihir Desai
1Section of Laparoscopic and Robotic Surgery, Glickman Urological Institute and Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
The Journal of Urology
|May 10, 2005
Summary
This study presents a minimally invasive laparoscopic radical cystectomy technique for female bladder cancer patients. The procedure demonstrated favorable short-term oncological and functional outcomes, with 73% of patients showing no evidence of disease.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Bladder cancer treatment often involves radical cystectomy.
- Laparoscopic techniques for female radical cystectomy are not well-documented.
- Minimally invasive approaches aim to reduce patient morbidity.
Purpose of the Study:
- To detail the technique of completely intracorporeal laparoscopic radical cystectomy in female patients.
- To present perioperative and short-term oncological outcome data for this procedure.
Main Methods:
- A retrospective review of 11 female patients who underwent laparoscopic radical cystectomy for bladder carcinoma since 2000.
- Data collected included patient demographics, operative details, perioperative outcomes, and oncological follow-up.
- Surgical reconstruction involved ileal conduit, orthotopic neobladder, or continent Indiana pouch.
Main Results:
- The mean operative time was 8.5 hours, with no cases converted to open surgery.
- Complications occurred in 4 patients, including internal hernia, DVT/PE, dehydration, and UTI.
- At a median follow-up of 7.1 months, 73% of patients had no evidence of disease.
Conclusions:
- Completely intracorporeal laparoscopic radical cystectomy is technically feasible in female patients.
- Techniques include anterior pelvic exenteration and organ-sparing options.
- Short-term oncological and functional outcomes appear promising.