Nerve-sparing laparoscopic cystectomy.
Laparoscopic radical cystectomy has been included among the viable options for the surgical treatment of muscle-invasive bladder cancer. Even with the minimally invasive approach, it must be considered a major surgical intervention and, even in experienced hands, it can be associated with a significant percentage of complications with a negative impact on overall quality of life, especially in terms of continence and sexual potency. According to our Medline search, only two papers are available from the literature on laparoscopic and robotic versions of nerve- and seminal-sparing cystectomy and nerve-sparing cystectomy, performed respectively on three and 17 patients, showing the feasibility and preliminary results of those surgical procedures. Therefore, data seem encouraging, but further prospective studies are mandatory to correctly assess oncologic and functional results in terms of potency and continence maintenance related to these innovative techniques.
Cestari
Andrea
A
Università Vita e Salute-San Raffaele Turro, Via Stamira d'Ancona 20, 20127 Milan, Italy. a_cestari@yahoo.it
Naspro
Richard
R
Riva
Matteo
M
Bellinzoni
Piera
P
Nava
Luciano
L
Rigatti
Patrizio
P
Guazzoni
Giorgio
G
D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery*; D015653:Cystectomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007558:Italy; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009367:Neoplasm Staging; D018570:Risk Assessment; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000294:innervation*; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*
J Urol. 1980 May;123(5):640-3
7420548
BJU Int. 2002 Sep;90(4):391-6
12175395
J Urol. 2003 Mar;169(3):834-42
12576795
J Urol. 2001 Dec;166(6):2101-8
11696715
J Urol. 2004 Jul;172(1):76-80
15201741
J Urol. 2001 Jan;165(1):51-5; discussion 55
11125362
J Urol. 2003 Mar;169(3):951-4
12576820
Eur Urol. 2003 Nov;44(5):567-72
14572756
J Urol. 2001 Jun;165(6 Pt 1):1863-6
11371868
J Urol. 2002 Jul;168(1):13-8
12050482
J Urol. 2002 Dec;168(6):2413-7
12441929
J Urol. 2004 May;171(5):1819-22; discussion 1822
15076284
BJU Int. 2003 Aug;92(3):232-6
12887473
J Urol. 2002 Sep;168(3):945-9
12187196
J Urol. 2002 Sep;168(3):1080-3
12187227
J Urol. 2000 Feb;163(2):418-22
10647644
J Urol. 1992 Oct;148(4):1140-4
1404624
Eur Urol. 1995;27(1):80-4
7744149
Br J Urol. 1984 Dec;56(6):694-7
6534493