Laparoscopic Assisted Cystectomy and Lymphadenectomy for Bladder Cancer: Initial Experience

Abstract

This study discusses our initial experience in the field of laparoscopic management of bladder carcinoma. Ten patients with invasive bladder tumors of variable histology and ranging from stage T2 to T3b were submitted to this procedure. Intraoperative assessment, lateral dissection, posterior dissection, anterior dissection, and urethral transection were achieved laparoscopically. The specimen retrieval and continent pouch construction was performed through a limited abdominal incision. This new regimen allows precise radical lymphadenectomy, early postoperative mobility, fewer wound complications, and shorter hospital stay. The early postoperative results of this procedure are encouraging. Modification and continuous refinement of the technique is still ongoing.

Laparoscopic radical cystectomy and urinary diversion: fad or future?

“…The high complication rate described by Denewer et al [9] probably reflects the advanced stage of malignancy of their patients, and in particular that most had had previous radical radiotherapy. The Cleveland Clinic group has now performed 21 laparoscopic radical cystectomies, all with intracorporeally created urinary diversions.…”

“…Denewer et al [9] reported 10 patients, showing that even patients who had previously had radical radiotherapy could successfully undergo a laparoscopic cystectomy. A modified ureterosigmoidostomy diversion was performed through a mini-laparotomy.…”

Laparoscopic partial cystectomy in bladder cancer: initial experience

“…The success of laparoscopy in the most diverse urological procedures led to its employment in complex pelvic surgeries and in the treatment of bladder cancer (2)(3)(4)(5). In selected patients having bladder carcinoma, open partial cystectomy can be performed with similar results and lower morbidity when compared with series of radical cystectomy (6,7).…”

Laparoscopic Radical Cystectomy

“…Although surgical technique varies slightly in different centres, and between the sexes, several common principles are applied, as reported in most initial series [9][10][11][12]. A transperitoneal four-or five-port technique is used.…”