Laparoscopic Radical Cystectomy and Extracorporeal Urinary Diversion: A Single Center Experience of 48 Cases with Three Years of Follow-up

Hemal, Ashok K.; Kolla, Surendra B.; Wadhwa, Pankaj; Dogra, Prem Nath; Gupta, Narmada P.

doi:10.1016/j.urology.2007.08.056

Cited by 58 publications

(40 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Limited data have been published of a comparative oncological analysis of LRC and ORC. 9 Our results show that the oncological outcomes of LRC at intermediate follow-up are similar to those of ORC. As Table 1 shows, the difference of age in both groups may affect oncological outcome.…”

supporting

confidence: 68%

“…Even with ORC carried out by experienced surgeons, significant morbidity and a prolonged hospital stay is usual because of the long incision, abdominal wall traction and wide exposure of the peritoneal surface, followed by extensive fluid loss. 13 When the perioperative parameters between the two groups were compared , the postoperative recovery in the LRC group was more rapid , despite its longer operative time, judging from the time to oral intake, Hemal et al 9 Cathelineau et al 10 Deger et al…”

Section: Discussionmentioning

confidence: 99%

“…Several reports have formerly been published that compare LRC and ORC, in which the pain scores and analgesic requirements in the LRC group were significantly lower than those in the ORC group. 9,[14][15][16] It is inferred that the reduced analgesic consumption, reflecting less pain, promoted the earlier recovery of bowel function and return to normal activity.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic versus open radical cystectomy for the management of bladder cancer: Mid‐term oncological outcome

Kim

et al. 2009

Int J of Urology

View full text Add to dashboard Cite

Results: Median follow-up of the LRC group was 21 months (3-56 months). Pathological stage or grade was similar in the two groups. There was no significant difference between the LRC and ORC groups in terms of 3-year overall (64.2% vs 72.6%, respectively; P = 0.682), cancer-specific (73.0% vs 75.3%, respectively; P = 0.951), and recurrence-free survival (70.5% vs 72.5%, respectively; P = 0.715) rates. In a subgroup analysis according to stage, there was also no significant difference in the 3-year disease-specific survival after LRC or ORC for organ-confined (pT1 and pT2; 85.7% vs 83.9%, respectively; P = 0.256) or extravesical disease (pT3 and pT4; 73.3% vs 63.8%, respectively; P = 0.825). Conclusion: These findings suggest that LRC provides mid-term oncological outcomes similar to those of ORC in the management of bladder cancer.

show abstract

supporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic versus open radical cystectomy for the management of bladder cancer: Mid‐term oncological outcome

Kim

et al. 2009

Int J of Urology

View full text Add to dashboard Cite

show abstract

“…[33][34][35][36] The procedure is safe with acceptable operating times and good shortterm functional and oncological results. [37][38][39][40] In 2008 Elhage et al described their surgical technique and looked at the financial aspect from a British perspective. 41 Another difficult laparoscopic procedure in urology is the ureteropelvic junction reconstruction (pyeloplasty).…”

Section: Urologymentioning

confidence: 99%

Robotic surgery

and

Verheijen

2008

BJOG

View full text Add to dashboard Cite

Over the past decade, there has been an exponential growth of robot-assisted procedures and of publications concerning roboticassisted laparoscopic surgery. From a review of the available literature, it becomes apparent that this technology is safe and allows more complex procedures in many fields of surgery, be it at relatively high costs. Although randomised controlled trials in gynaecology are lacking, available evidence suggests that particularly in gynaecology robotic surgery might not only reduce morbidity but also be cost effective if performed in high-volume centres. Training in robotic surgery and programs for safe and effective implementation are necessary.

show abstract

“…The feasibility of LRC, including laparoscopic-assisted, robot-assisted laparoscopic and pure LRC has been evaluated [5][6][7] . Its potential advantages, including less blood loss, decreased postoperative pain, earlier return of bowel function and shorter length of stay have been demonstrated in some comparative studies [8][9][10] .…”

mentioning

confidence: 99%

Comparison of Hand-Assisted Laparoscopic and Open Radical Cystectomy for Bladder Cancer

Wang

Chen²,

Wang³

et al. 2010

Urol Int

View full text Add to dashboard Cite

Purpose: To present our experience of hand-assisted laparoscopic radical cystectomy (HALRC) and compare it with open radical cystectomy (ORC). Patients and Methods: During the period between May 2004 and November 2007, 31 patients underwent HALRC and 39 patients underwent ORC for bladder cancer. The patient demographics, intraoperative variables and postoperative outcomes were compared retrospectively. Results: There was no statistically significant difference with regard to age, sex, body mass index, and urinary diversion in the 2 groups. In the HALRC group, 20 patients had stage pT2 or less, 7 had pT3 disease, and 4 had stage pT4 disease. In the ORC group, 29 patients had stage pT2 or less, 5 had pT3 disease, and 5 had stage pT4 disease. All margins in both groups were negative. The HALRC group had decreased blood loss (250.9 vs. 812.8 ml, p < 0.001) and a lower rate of transfusion (9.7 vs. 76.9%, p < 0.001), but similar mean operative time (365.7 vs. 362.6 min, p = 0.862). Time to liquid diet was significantly less in the HALRC group versus the ORC group (4.3 vs. 6.3 days, p < 0.001). The median number of lymph nodes were similar between the HALRC and ORC groups (14 vs. 15, p = 0.377). Six patients developed perioperative complications in the HALRC group and 12 patients had complications in the ORC group (19.4 vs. 30.8%, p = 0.278). Late complications occurred in 3 patients (2 parastomal hernias and 1 ureteroenteral stricture) in the HALRC group. Conclusions: Compared with ORC, HALRC patients had decreased blood loss, less transfusion requirements, and quicker intestinal recovery. Long-term follow-up in a larger cohort of patients is needed to assess the long-term oncological and functional outcomes.

show abstract

Laparoscopic Radical Cystectomy and Extracorporeal Urinary Diversion: A Single Center Experience of 48 Cases with Three Years of Follow-up

Cited by 58 publications

References 20 publications

Laparoscopic versus open radical cystectomy for the management of bladder cancer: Mid‐term oncological outcome

Laparoscopic versus open radical cystectomy for the management of bladder cancer: Mid‐term oncological outcome

Robotic surgery

Comparison of Hand-Assisted Laparoscopic and Open Radical Cystectomy for Bladder Cancer

Contact Info

Product

Resources

About