Laparoscopic extended lymphadenectomy for bladder and prostate cancer

Abstract

Purpose: Extended lymphadenectomy in bladder and prostate cancer represents an important step of the surgical treatment of these tumors. Some urological referral centers have been using the laparoscopic approach for these cases. The aim of this video is to demonstrate the surgical technique of laparoscopic extended lymphadenectomy for bladder and prostate cancer. Case 1: Patient with transitional cell carcinoma of the bladder invading the muscular layer underwent laparoscopic extended lymphadenectomy up to the aortic bifurcation. Total operative time was 100 minutes and intraoperative bleeding was 100cc. Thirteen nodes were retrieved with no neoplasic involvement. Case 2: Patient with prostate cancer clinical stage T2 was submitted to laparoscopic extended lymphadenectomy with dissection of the internal iliac artery and its branches. Operative time was 55 minutes and intraoperative bleeding was 100cc. Eleven nodes were retrieved with no neoplasic involvement. Conclusion: Extended lympadenectomy in bladder and prostate cancer is a challenging procedure that can be performed by using the laparoscopic approach following the oncologic concepts. Int Braz J Urol. 2010; 36 (Video #8): 648_9Available at