Laparoscopic radical cystectomy.
Open radical cystectomy with lymph node dissection remains the gold standard treatment for recurrent, high-grade, non-muscle-invasive and for muscle-invasive bladder cancer. The excellent perioperative and long-term results provided by laparoscopic surgery and the advances in instrumentation design have naturally paved the way for development of laparoscopic radical cystectomy (LRC). In this review, surgical and long-term oncological outcomes of LRC are analysed. The advantages of this technique compared with open surgery are described. The differences between pure laparoscopic technique or laparoscopic cystectomy and extracorporeal urinary diversion have also been analysed.
Ríos González
Emilio
E
Urology Unit, Infanta Sofía Hospital, San Sebastián de los Reyes, Madrid, Spain. erios00@hotmail.com
López-Tello García
Jorge Juan
JJ
Martínez-Piñeiro Lorenzo
Luis
L
D002277:Carcinoma / Q000534:rehabilitation / Q000601:surgery*; D015653:Cystectomy / Q000009:adverse effects / Q000266:history / Q000379:methods*; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000266:history / Q000379:methods*; D008197:Lymph Node Excision; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods