Laparoscopic partial cystectomy for urachal and bladder cancer
Jose R Colombo1, Mihir Desai, David Canes
1Section of Laparoscopic and Robotic Surgery, Cleveland Clinic, Glickman Urological Institute, Cleveland, Ohio, USA. betocolombo@hotmail.com
Clinics (Sao Paulo, Brazil)
|December 9, 2008
Summary
Laparoscopic partial cystectomy is a safe and effective minimally invasive option for select patients with urachal and bladder cancer. This study shows no recurrence in patients undergoing this procedure.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Urachal and bladder cancers are rare malignancies.
- Traditional surgical approaches can be invasive.
Purpose of the Study:
- To evaluate the initial experience with laparoscopic partial cystectomy for urachal and bladder malignancies.
- To assess the safety and feasibility of this minimally invasive approach.
Main Methods:
- Six patients underwent laparoscopic partial cystectomy for urachal adenocarcinoma or bladder transitional cell carcinoma.
- The transperitoneal approach was used with cystoscopic guidance.
- Specimens were removed intact in impermeable bags.
Main Results:
- All six procedures were completed laparoscopically without open conversion.
- Median operating time was 110 minutes, with a median blood loss of 70 mL.
- No intraoperative or postoperative complications occurred, with a median hospital stay of 2.5 days.
Conclusions:
- Laparoscopic partial cystectomy is a feasible and safe minimally invasive alternative for carefully selected patients.
- The procedure demonstrated no evidence of recurrent disease at a median follow-up of 28.5 months.
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