Cystoscopy-assisted laparoscopic partial cystectomy.
OBJECTIVE
Laparoscopic partial cystectomy is performed in selected patients with isolated diseases, such as bladder endometriosis, pheochromocytoma, leiomyoma, and malignant bladder tumors. Laparoscopic partial cystectomy is indicated for a solitary bladder tumor that is distant from the bladder neck, the ureteral orifices, and the trigone, to allow a resection margin of 1 to 2 cm. We report our experience with cystoscopy-assisted laparoscopic partial cystectomy.


METHODS
The bladder was mobilized adequately by laparoscopy. Intraoperative cystoscopy was performed Cystoscopic guidance was used for the initial cystotomy. Further excision of the bladder tumor with a safety margin of 1.5 to 2 cm was performed under laparoscopic vision.


RESULTS
Three patients underwent cystoscopy-assisted laparoscopic partial cystectomy. Cystoscopy aided in planning a proper and adequate safety margin around the tumor as well as helped in marking the initial cystotomy.


CONCLUSIONS
Cystoscopic assistance during laparoscopic partial cystectomy helps to properly place the initial cystotomy as well aids in planning the safety margin around the tumor. It is safe, easy, and does not add to increased operative time or morbidity.
Nerli
Rajendra B
RB
Department of Urology, Kles Kidney Foundation, Nehru Nagar, Belgaum, India. director@jleskf.org
Reddy
Mallikarjun
M
Koura
Ashish C
AC
Prabha
Vikram
V
Ravish
Indupur R
IR
Amarkhed
Srisailesh
S
D000328:Adult; D015653:Cystectomy / Q000379:methods*; D003558:Cystoscopy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D001749:Urinary Bladder Neoplasms / Q000601:surgery