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Umbilical laparoendoscopic partial cystectomy.

C Redondo1, S Pérez1, H Gimbernat1

  • 1Servicio de Urología, Hospital Universitario de Getafe, Departamento Clínico, Universidad Europea de Madrid, Laureate Universities, Madrid, España.

Actas Urologicas Espanolas
|March 10, 2015
PubMed
Summary
This summary is machine-generated.

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Single-port umbilical laparoendoscopic partial cystectomy is a safe and effective approach for benign and malignant bladder conditions. This minimally invasive technique offers excellent functional and cosmetic outcomes with minimal complications.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Partial cystectomy is a surgical procedure to remove a portion of the bladder.
  • Single-port laparoendoscopic surgery offers potential advantages in reduced invasiveness and improved cosmesis.
  • Umbilical access for laparoendoscopic procedures is an emerging technique.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of single-port umbilical laparoendoscopic partial cystectomy.
  • To review patient characteristics, surgical techniques, and perioperative results.
  • To assess outcomes in both benign and malignant bladder pathologies.

Main Methods:

  • A retrospective review of five patients who underwent single-port umbilical laparoendoscopic partial cystectomy between May 2012 and December 2014.
Keywords:
Bladder diverticulumCirugía laparoendoscópica por puerto únicoCistectomía parcialDivertículo vesicalEndometriosisLaparentroscopyLaparoscopiaPartial cystectomySingle-port laparoscopic surgery

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  • Procedures were performed using curved instruments and a multichannel system with a 3.5mm accessory trocar.
  • Patient demographics, indications (endometriosis, tumor, diverticulum, ureterocele), operative times, blood loss, and postoperative recovery were analyzed.

    • Main Results:

    • Median operative time was 273 minutes, with a median blood loss of 250 ml. No transfusions were required.
    • The postoperative period was uneventful, with a median hospital stay of 3 days.
    • All patients demonstrated excellent functional and morphological recovery of the bladder and ureter. The patient with malignancy remained disease-free for over 2 years.

    Conclusions:

    • Single-port umbilical laparoendoscopic partial cystectomy is a viable and safe surgical option.
    • The technique achieves excellent functional and cosmetic results.
    • This approach is suitable for managing both benign and malignant bladder conditions.