Laparoscopic partial cystectomy for various bladder pathologies.
OBJECTIVE
To present our initial experience with laparoscopic partial cystectomy (LPC) in selected patients with various bladder pathologies.


METHODS
Between December 2004 and April 2006, four patients had LPC at our centre (mean age 52 years, range 35-70); the transperitoneal approach was used for three and a pre-peritoneal approach for one. The surgical procedures used sequentially included transurethral incision around the lesion, laparoscopic excision of the lesion (partial cystectomy) and intracorporeal suturing. Laparoscopic pelvic lymphadenectomy was also used for the two patients with malignancy.


RESULTS
All operations proceeded smoothly; the bladder pathologies included one bladder endometriosis, one bladder leiomyoma, one urothelial carcinoma within the bladder diverticulum and one urachal adenocarcinoma. The mean (range) operative duration was 197.5 (120-300) min, the estimated blood loss 70 (50-100) mL, the hospital stay 6.75 (5-9) days, and duration of Foley catheterization 7.25 (6-9) days. No open conversion was required and no patient had peri-operative complications. The surgical margins were free of cancer and the dissected lymph nodes were negative in those two patients with bladder malignancy.


CONCLUSIONS
LPC is safe and feasible in selected patients with various bladder pathologies.
Tai
Huai-Ching
HC
Department of Urology, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan.
Chung
Shiu-Dong
SD
Wang
So-Mon
SM
Chueh
Shih-Chieh
SC
Yu
Hong-Jeng
HJ
D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D002404:Catheterization; D015653:Cystectomy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000473:pathology / Q000601:surgery*