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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
[Laparoscopic radical cystectomy with vaginal specimen extraction. Case report]
Gonzalo Vitagliano1, Nicolás Villasante, Juan Paterlini
1Hospital Alemán, Buenos Aires, Argentina. gonzalovitagliano@hotmail.com
Archivos Espanoles De Urologia
|September 1, 2009
Summary
This case report details a successful laparoscopic radical cystectomy with vaginal specimen extraction in an elderly patient with muscle invasive bladder cancer. The minimally invasive approach offered good oncologic outcomes and reduced patient morbidity.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Muscle invasive bladder cancer necessitates radical cystectomy.
- Minimally invasive surgical techniques are increasingly explored for complex oncologic procedures.
Observation:
- A 78-year-old patient with muscle invasive bladder cancer underwent laparoscopic radical cystectomy and pelvic lymphadenectomy.
- The surgical specimen was extracted vaginally, a less common but feasible approach.
Findings:
- The procedure was completed without complications.
- Key metrics included a 240-minute operative time, 200 ml blood loss, and an 8-day hospital stay.
- The patient remained disease-free at 9 months post-surgery.
Implications:
- Laparoscopic radical cystectomy demonstrates effective oncologic control.
- This approach offers reduced morbidity compared to open surgery, particularly for elderly or frail patients.
- Vaginal extraction of the specimen is a viable option in select cases.
