title: Nerve-sparing laparoscopic cystectomy.
abstract: 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.
authors.affiliation: Università Vita e Salute-San Raffaele Turro, Via Stamira d'Ancona 20, 20127 Milan, Italy. a_cestari@yahoo.it
authors.forename: Andrea
authors.initials: A
authors.lastname: Cestari
authors.forename: Richard
authors.initials: R
authors.lastname: Naspro
authors.forename: Matteo
authors.initials: M
authors.lastname: Riva
authors.forename: Piera
authors.initials: P
authors.lastname: Bellinzoni
authors.forename: Luciano
authors.initials: L
authors.lastname: Nava
authors.forename: Patrizio
authors.initials: P
authors.lastname: Rigatti
authors.forename: Giorgio
authors.initials: G
authors.lastname: Guazzoni
mesh_terms: 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*
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