LAPAROSCOPIC RADICAL CYSTECTOMY – FIRST EXPERIENCE
Authors:
Michal Balík; Petr Hušek; Lukáš Holub; Josef Košina; Miloš Broďák
Authors place of work:
Urologická klinika FN a LF UK Hradec Králové
Published in the journal:
Ces Urol 2015; 19(3): 194-200
Category:
Original Articles
Summary
Aims:
The evaluation of our first experience with laparoscopic radical cystectomy.
Methods:
A cohort of 12 patients who underwent laparocopic radical cystectomy from April 2014 to June 2015 was assessed. The cohort comprised 11 men and one woman; the mean age was 64.5 (54–74) years. All patients received extensive pelvic lymphadenectomy and cystectomy via laparoscopic approach. The diversion of urine was created extracorporally, eleven ileal conduits and one continent neobladder.
Results:
The median follow-up was 10 months. The mean time of surgery was 358 (279–420) minutes. The average blood loss was 266 (100–1000) ml and the mean length of hospital stay was 16.5 (12–30) days. No patient had infection in surgical wounds. One patient died 8 months after surgery from renal failure without subrenal obstruction. One patient with confirmed metastasis in one lymph node underwent adjuvant chemotherapy and palliative chemotherapy for local recurrence and died 9 months after surgery. The patient with continent neobladder developed stenosis in both ureteroileal and urethroileal anastomoses and undergo revision surgery. Nine remaining patients were without complications and in remission.
Conclusion:
Laparoscopic radical cystectomy is a minimally invasive and safe alternative to open procedure. We observed lower blood loss, no complication in surgical wounds and shorter convalescence.
Key words:
Laparoscopic radical cystectomy, extracorporeal ileal conduit, extensive pelvic lymphadenectomy
Zdroje
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Štítky
Paediatric urologist Nephrology UrologyČlánok vyšiel v časopise
Czech Urology
2015 Číslo 3
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