Laparoscopic assisted cystectomy and lymphadenectomy for bladder cancer: initial experience.
This study discusses our initial experience in the field of laparoscopic management of bladder carcinoma. Ten patients with invasive bladder tumors of variable histology and ranging from stage T2 to T3b were submitted to this procedure. Intraoperative assessment, lateral dissection, posterior dissection, anterior dissection, and urethral transection were achieved laparoscopically. The specimen retrieval and continent pouch construction was performed through a limited abdominal incision. This new regimen allows precise radical lymphadenectomy, early postoperative mobility, fewer wound complications, and shorter hospital stay. The early postoperative results of this procedure are encouraging. Modification and continuous refinement of the technique is still ongoing.
Denewer
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A
Mansoura Surgical Oncology Unit, Faculty of Medicine, Mansoura University, Ghomhoria Street, PO Box 35516-37, Mansoura, Egypt.
Kotb
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S
Hussein
O
O
El-Maadawy
M
M
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery; D018289:Carcinoma, Verrucous / Q000473:pathology / Q000601:surgery; D015653:Cystectomy / Q000009:adverse effects / Q000379:methods; D004210:Dissection; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D007902:Length of Stay; D008197:Lymph Node Excision / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D011182:Postoperative Care; D014521:Urethra / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D016476:Urinary Reservoirs, Continent