Laparoscopically Assisted Transvaginal Radical Cystectomy

Laparoscopic partial cystectomy in bladder cancer: initial experience

“…Additionally, very low rates of post-operative complications were observed, following the trend in the majority of published series on laparoscopic procedures in urology (2)(3)(4)(5)9,10).…”

“…Some studies have demonstrated that laparoscopic radical cystectomy is feasible, involving lower morbidity, a quicker return of the patient to his/her daily activities and a shorter hospitalization period (3,4,7,10). Other technical advantages with the method include non-performance of laparotomy, re- Partial cystectomy must be reserved for a group of patients with bladder cancer that comply with strict selection criteria (11)(12)(13)(14)(15).…”

Laparoscopic radical cystectomy and urinary diversion: fad or future?

“…In 1995 the first laparoscopically assisted radical cystectomy and diversion was described in a 64-year-old woman with invasive bladder cancer [7]. Puppo et al [8] reported the first small series of laparoscopically assisted transvaginal radical cystectomy in five patients, wherein the ileal conduit was created via a minilaparotomy incision. The operative duration was 6-9 h and four of the five patients were discharged at 7-11 days.…”

“…The patient required no postoperative opiate analgesia and was discharged after 7 days. Other authors performing laparoscopic cystectomy used a mini-laparotomy incision to create an ileal conduit [8]. In 1995, laparoscopically assisted modified ureterosigmoidostomy was attempted in pigs, albeit with a significant incidence of ureterocolonic obstruction within 12 weeks [11].…”

“…FEMALE CYSTECTOMY [8] In female cystectomy, after dividing the lateral pedicles, a sponge stick in the vagina allows the vaginal apex to be identified and incised, after which the vaginal incision is extended along both sides of the vagina to the bladder base and urethra. The urethra may then be dissected vaginally and the specimen delivered via the vagina.…”