Laparoscopic radical cystectomy for 43 patients with invasive bladder carcinoma / 中华外科杂志
Chinese Journal of Surgery
;
(12): 595-597, 2008.
Artigo
em Chinês
| WPRIM
| ID: wpr-245549
ABSTRACT
<p><b>OBJECTIVE</b>To report initial experience with laparoscopic radical cystectomy in 43 patients with invasive bladder carcinoma.</p><p><b>METHODS</b>From December 2003 to October 2006, 29 men and 14 women underwent laparoscopic radical cystectomy with extracorporeal-assisted urinary diversion for transitional cell carcinoma of the bladder (n=40), adenocarcinoma (n=2) and squamous cell arcinoma (n=1). We report the specific technical details and present initial results of our series.</p><p><b>RESULTS</b>The mean operative time of laparoscopic radical cystectomy with pelvic lymph node dissection was 195.4 min, the mean blood loss 273.7 ml, and the transfusion rate 6.9%. Two procedures converted to open techniques. Lymphadenectomy detected lymph node metastasis in three patients.</p><p><b>CONCLUSIONS</b>We demonstrate that the combination of laparoscopic radical cystectomy and extracorporeal urinary diversion is possible and remains a safe, feasible, and repeatable surgical technique. The laparoscopic surgery with extracorporeal urinary reconstruction is emerging as a viable alternative to open radical cystectomy while characterized by less trauma, short recovery time and low complications. Intermediate oncologic outcomes are encouraging and comparable to those of open series. To determine the oncologic outcome long-time follow-up will be necessary.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Derivação Urinária
/
Neoplasias da Bexiga Urinária
/
Cistectomia
/
Seguimentos
/
Resultado do Tratamento
/
Laparoscopia
/
Métodos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2008
Tipo de documento:
Artigo
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