title: Evaluation of open and laparoscopic radical cystoprostatectomy combined with orthotopic neobladder: a single-surgeon experience.
abstract: OBJECTIVE
  To compare the outcomes of laparoscopic (LRCP) and open radical cystoprostatectomy (ORCP) with orthotopic urinary diversion for muscle-invasive organ-confined bladder cancer by a single surgeon.
  
  
  METHODS
  Prospectively documented 15 LRCP and 15 ORCP patients, followed for at least 3 years, were included in our study. The demographic parameters of patients, preoperative radiologic staging, previous operations, surgical outcomes, complications, oncologic results and intermediate-term follow-up, postoperative chemotherapy and follow-up periods were recorded and evaluated.
  
  
  RESULTS
  The mean oncologic follow-up was 3 years. Transfusion rate, estimated blood loss, oral intake and narcotic analgesic requirement were statistically less in the LRCP group (p < 0.05). However, operation time and hospital stay were similar in both groups. The complication rates were not significantly different between the two groups. The mean number of dissected lymph nodes was 20.0 ± 1.7 in the ORCP and 22.6 ± 2.0 in the LRCP group. One patient in each group had a margin positive for bladder cancer.
  
  
  CONCLUSIONS
  The laparoscopic approach may be feasible for muscle-invasive organ-confined bladder cancer. Furthermore, LRCP provides less blood loss, early oral intake and postoperative pain management. Additionally, continence and sexual function may be provided by LRCP as with ORCP.
authors: Department of Urology, Erzincan University School of Medicine, Erzincan, Turkey. yigitakin@yahoo.com
authors: Yigit
authors: Y
authors: Akin
authors: Orcun
authors: O
authors: Celik
authors: Mutlu
authors: M
authors: Ates
authors: Baris
authors: B
authors: Nuhoglu
authors: Tibet
authors: T
authors: Erdogru
mesh_terms: D000368:Aged; D016009:Chi-Square Distribution; D015653:Cystectomy / Q000009:adverse effects / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012307:Risk Factors; D019738:Surgically-Created Structures / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*