Laparoscopic radical cystectomy

Abstract

ObjectiveLaparoscopic radical cystectomy (LRC) has emerged as a minimally invasive alternative to open radical cystectomy (ORC). This review focuses on patient selection criteria, technical aspects and postoperative outcomes of LRC.MethodsMaterial for the review was obtained by a PubMed search over the last 10 years, using the keywords ‘laparoscopic radical cystectomy’ and ‘laparoscopic bladder cancer’ in human subjects.ResultsTwenty-two publications selected for relevance and content were used for this review from the total search yield. The level of evidence was IIb and III. LRC results in comparable short- and intermediate-range oncological outcomes to ORC, with generally longer operative times but decreased blood loss, postoperative pain and hospital stay. Overall operative and postoperative morbidity are equivalent.ConclusionIn experienced hands, LRC is an acceptable minimally invasive alternative to ORC in selected patients, with the main advantage of decreased blood loss and postoperative pain, as well as a shorter hospital stay and recovery.

Health‐related quality of life from a prospective randomised clinical trial of robot‐assisted laparoscopic vs open radical cystectomy

“…In the past decade, minimally invasive approaches including robot‐assisted approaches have emerged as a viable surgical option for many urological malignancies, with the promise of decreasing morbidity, shorter hospital stays, faster recovery and fewer narcotic analgesic requirements . In recent years, several studies have documented the feasibility of minimally invasive approaches to carcinoma invading the bladder muscle . Comparisons of HRQoL in patients with bladder cancer have predominantly focused on comparing the differing types of urinary diversions (continent vs incontinent), with mixed results .…”

A dual-centre, cohort comparison of open, laparoscopic and robotic-assisted radical cystectomy

“…However, morbidity of ORC remains high with up to 65% complications reported (2). Laparoscopic radical cystectomy (LRC) was introduced in an attempt to reduce the morbidity of ORC (3–5) and relatively large series have now been reported (6,7). More recently robotic‐assisted radical cystectomy (RARC) has emerged as an attractive alternative to ORC and LRC (8).…”

Laparoscopic Retroperitoneal Lymph Node Dissection with Therapeutic Intent in Men with Clinical Stage I Nonseminomatous Germ Cell Tumors

“…Initially popularized as a less morbid alternative to radical nephrectomy, laparoscopic and robot-assisted surgery have permeated all aspects of urologic oncology, including kidney, prostate, bladder, and testicular cancer. [10][11][12][13] Nowhere has the merits of minimally invasive surgery been more questioned and controversial than in its role in the management of testicular cancer. Critics of laparoscopic RPLND point to initial reports of the procedure used for staging, without attempts to replicate the open approach.…”