title: Radical cystectomy using endoscopic stapling devices: preliminary experience with a simple and reliable technique.
abstract: OBJECTIVE
  We introduce a new technique to decrease operative time and blood loss during radical cystectomy.
  
  
  METHODS
  We used endoscopic stapling devices for secure hemostasis, as well as rapid division of the bladder and prostatic lateral ligaments, and the deep dorsal vein complex during radical cystectomy in 16 patients with bladder or urethral cancer compared to 11 who underwent cystectomy via a conventional method, consisting of incision and ligation with sutures.
  
  
  RESULTS
  In most cases the endoscopic staplers were useful for sufficient hemostasis and rapid division of the ligaments and/or venous plexus. Mean total operative time with the stapling technique was significantly shorter than that with the standard technique (p = 0.003), and mean total blood loss was less than with the standard technique but the difference was not statistically significant.
  
  
  CONCLUSIONS
  Although our study was not designed in a randomized manner, we believe that endoscopic stapling devices facilitate radical cystectomy.
authors.affiliation: Division of Urology, Iida Municipal Hospital, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Yamashita
authors.forename: O
authors.initials: O
authors.lastname: Muraishi
authors.forename: S
authors.initials: S
authors.lastname: Umeda
authors.forename: T
authors.initials: T
authors.lastname: Matsushita
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D015653:Cystectomy / Q000295:instrumentation*; D003558:Cystoscopy; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D013528:Surgical Staplers; D001749:Urinary Bladder Neoplasms / Q000601:surgery*