Retrograde radical cystectomy and consequent peritoneal cavity reconstruction benefits localized male bladder cancer: results from a cohort study

Abstract

Background: Bladder cancer is the second most common genitourinary malignancy. Our study was to introduce a standardized surgical procedure of retrograde radical cystectomy and consequent peritoneal cavity reconstruction in localized male bladder cancer. Methods: Eighty-four consecutive male patients with localized bladder cancer (clinical stage T2 or lower) underwent surgery in our institute with the proposed procedure between May 2012 and April 2013. Median age was 65 years (range, 35 to 83 years); patient characteristics, surgical parameters, perioperative complications, pathology, and short-term prognosis were analyzed. Median follow-up was 24 months (range, 18 to 30 months).

Initial experience with 161 extraperitoneal laparoscopic radical cystectomy procedures: Comparison with transabdominal laparoscopic radical cystectomy

“…compared the incidence of early gastrointestinal complications in extraperitoneal versus intraperitoneal surgery in detail, finding differences in ileus and obstruction ( p = 0.04) favoring the extraperitoneal group. As in previous studies, extraperitoneal surgery is associated with fewer gastrointestinal complications and faster functional recovery than the transabdominal approach, especially in the elderly 17,18 . Zhang et al 16 .…”

“…As in previous studies, extraperitoneal surgery is associated with fewer gastrointestinal complications and faster functional recovery than the transabdominal approach, especially in the elderly. 17 , 18 Zhang et al. 16 also reported that postoperative gastrointestinal complications were significantly less in the ELRC group than in the TLRC group ( p = 0.023).…”

Extraperitoneal laparoscopic radical cystectomy with intracorporeal neobladder: a comparison with transperitoneal approach

“…With early return of peristalsis, the incidence of postoperative ileus would be lower, mainly attributed to opening the peritoneum late and close the peritoneum promptly after establishing a neobladder [ 6 ]. According to previous reports, open peritoneal approach was superior to transperitoneal approach in decreasing gastrointestinal complications and improving bowel recovery especially for older people [ 6 , 18 ]. In our study, in order to evaluate bowel recovery speed, we mainly referred to the time to flatus, the interval to tolerating solid food, LOS, and the incidence of postoperative ileus.…”