[Laparoscopic radical cystectomy for 43 patients with invasive bladder carcinoma].
OBJECTIVE
To report initial experience with laparoscopic radical cystectomy in 43 patients with invasive bladder carcinoma.


METHODS
From December 2003 to October 2006, 29 men and 14 women underwent laparoscopic radical cystectomy with extracorporeal-assisted urinary diversion for transitional cell carcinoma of the bladder (n=40), adenocarcinoma (n=2) and squamous cell arcinoma (n=1). We report the specific technical details and present initial results of our series.


RESULTS
The mean operative time of laparoscopic radical cystectomy with pelvic lymph node dissection was 195.4 min, the mean blood loss 273.7 ml, and the transfusion rate 6.9%. Two procedures converted to open techniques. Lymphadenectomy detected lymph node metastasis in three patients.


CONCLUSIONS
We demonstrate that the combination of laparoscopic radical cystectomy and extracorporeal urinary diversion is possible and remains a safe, feasible, and repeatable surgical technique. The laparoscopic surgery with extracorporeal urinary reconstruction is emerging as a viable alternative to open radical cystectomy while characterized by less trauma, short recovery time and low complications. Intermediate oncologic outcomes are encouraging and comparable to those of open series. To determine the oncologic outcome long-time follow-up will be necessary.
Department of Urology, YuHuangDing Hospital, Yantai 264000, China. jtwu1006@163.com
Zhen-li
ZL
Gao
Ji-tao
JT
Wu
Yu-jie
YJ
Liu
Lei
L
Shi
Chang-ping
CP
Men
Peng
P
Zhang
Qing-zuo
QZ
Liu
Lin
L
Wang
D000368:Aged; D015653:Cystectomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods