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Related Experiment Video

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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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[Laparoscopic radical cystectomy: innovations and classics].

D V Perlin1,2, I V Aleksandrov1,2, V P Zipunnikov1,2

  • 1Volgograd Regional Uronephrology Center, Volzhsky, Russia.

Urologiia (Moscow, Russia : 1999)
|November 15, 2017
PubMed
Summary

Laparoscopic radical cystectomy (LRC) offers a safe and effective minimally invasive option for muscle-invasive bladder cancer. While promising, further studies are needed to establish LRC as a standard treatment.

Keywords:
ileum conduitintracorporeal reservoir formationlaparoscopic radical cystectomy

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Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Radical cystectomy is the standard treatment for muscle-invasive bladder cancer.
  • Laparoscopic radical cystectomy (LRC) aims to combine minimally invasive benefits with open surgery techniques.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic radical cystectomy (LRC) for muscle-invasive bladder cancer.

Main Methods:

  • A study involving 35 patients with invasive bladder cancer who underwent LRC between April 2013 and March 2016.
  • Inclusion criteria focused on patients with fully intra-corporal ileum conduits.

Main Results:

  • Average operating time was 378 minutes with a mean blood loss of 285 ml.
  • Mean postoperative hospital stay was 12.4 days, with only 20% requiring opioid analgesia.
  • Postoperative complications occurred in 11.4% of patients and were mostly managed minimally invasively.

Conclusions:

  • Laparoscopic radical cystectomy (LRC) is a safe and effective treatment for invasive bladder cancer.
  • Larger patient cohorts and longer follow-up are necessary to consider LRC a standard of care.