Laparoscopic radical cystectomy: an Italian survey

Abstract

The LRC procedure is feasible although technically demanding. The morbidity of this procedure is evident, but may be reduced with further experience. Bowel management and reconstruction remain the most challenging part of the procedure.

Laparoscopic radical cystectomy with orthotopic gastric neobladder: technique and initial outcomes

“…Prolonged contact of urine with the bowel mucosa causes metabolic disturbances secondary to electrolyte reabsorption, typically a hypercholoremic metabolic acidosis (Chang et al 2000). Excessive production of mucus by bowel mucosa may impair bladder emptying or cause catheter plugging, put patients at risk for bladder rupture (SighinolW et al 2007) and stone formation (Abreu et al 2005). Additionally, carcinogenesis risk in bowel urinary diversion is increased possibly due to nitrosamine production (Filmer et al 1990).…”

Laparoscopic Radical Cystectomy: a 5-year review of a single institute's operative data and complications and a systematic review of the literature

“…All articles excluded were due to either non-relevance to the aim of this review or reported on less than 50 LRC. Seven articles were included, their results are depicted on Table-4 (10)(11)(12)(13)(14)(15)(16)(17). No studies were found describing the learning curve for laparoscopic cystectomy procedures.…”

Laparoscopic radical cystectomy: neobladder or ileal conduit, debate still goes on

“…Castillo et al, have the second largest series with 85 LRC (24 conduits, 42 neobladders, 10 Indiana pouches, 9 Mainz II pouches), followed by Cathelineau et al with 84 LRC (33 conduits and 51 neobladders) and Sighniolfi et al with 83 LRC (43 conduits and 26 neobladders) [4, 7, 11]. None of these studies compared the types of urinary diversions.…”

“…Traditionally, RC is performed by an open surgical technique; however, more recently, a minimally invasive approach has been established in numerous centres across the world [3, 7]. In fact, with the advancement of laparoscopy equipment and the increased skills of urologists performing minimally invasive surgery, laparoscopic radical cystectomy (LRC) has become a viable alternative to open radical cystectomy (ORC).…”