[Laparoscopic cystoprostatectomy, initial experience: 13 patients].
From July 2003 to February 2004, 13 laparoscopic radical cysto-prostatectomies have been achieved in our department. The technique is describe, the ablation of the bladder and prostate is done through a pure laparoscopic approach when the reconstruction is done trough a small incision under the umbilicus. The uretro-neobladder anastomoses are performed under laparoscopy after re-integration of the bladder. All procedures have been successfully achieved; the mean operative time is 400 minutes, 320 for the cutaneous diversions and 450 for the Camey 2 procedures. Blood loss were 390 ml, blood transfusion was d for only one patient. No major complication was observed, the mean hospital stay was 14.2 days (+3.5). In our experience laparoscopic radical cystectomy is a safe option, associated with shorter hospital stays and gentler postoperative recovery.
Vaessen
Christophe
C
Service d'Urologie et de Transplantation rénale, CHU Rangueil, Toulouse, France. vaessen.c@chu-toulouse.fr
Mouzin
Marc
M
Malavaud
Bernard
B
Gamé
Xavier
X
Berrogain
Nathalie
N
Rischmann
Pascal
P
D000368:Aged; D015653:Cystectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000601:surgery; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery