Laparoscopic partial cystectomy for urachal and bladder cancer
Clinics
;
63(6): 731-734, 2008. tab
Article
in English
| LILACS
| ID: lil-497883
ABSTRACT
PURPOSE:
To report our initial experiences with laparoscopic partial cystectomy for urachal and bladder malignancy. MATERIALS ANDMETHODS:
Between March 2002 and October 2004, laparoscopic partial cystectomy was performed in 6 cases at 3 institutions; 3 cases were urachal adenocarcinomas and the remaining 3 cases were bladder transitional cell carcinomas. All patients were male, with a median age of 55 years (45-72 years). Gross hematuria was the presenting symptom in all patients, and diagnosis was established with trans-urethral resection bladder tumor in 2 patients and by means of cystoscopic biopsy in the remaining 4 patients. Laparoscopic partial cystectomy was performed using the transperitoneal approach under cystoscopic guidance. In each case, the surgical specimen was removed intact entrapped in an impermeable bag. One patient with para-ureteral diverticulum transitional cell carcinoma required concomitant ureteral reimplantation.RESULTS:
All six procedures were completed laparoscopically without open conversion. The median operating time was 110 minutes (90-220) with a median estimated blood loss of 70 mL (50-100). Frozen section evaluations of bladder margins were routinely obtained and were negative for cancer in all cases. The median hospital stay was 2.5 days (2-4) and the duration of catheterization was 7 days. There were no intraoperative or postoperative complications. Final histopathology confirmed urachal adenocarcinoma in 3 cases and bladder transitional cell carcinoma in 3 cases. At a median follow-up of 28.5 months (range 26 to 44 months), there was no evidence of recurrent disease as evidenced by radiologic or cystoscopic evaluation.CONCLUSIONS:
Laparoscopic partial cystectomy in carefully selected patients with urachal and bladder cancer is feasible and safe, offering a promising and minimally invasive alternative for these patients.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Urachus
/
Urinary Bladder Neoplasms
/
Carcinoma, Transitional Cell
/
Adenocarcinoma
/
Cystectomy
Type of study:
Practice guideline
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2008
Type:
Article
Affiliation country:
India
/
United States
Institution/Affiliation country:
Glickman Urological Institute/US
/
Lahey Clinic/US
/
Urological Hospital/IN
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