Laparoscopic Radical Cystectomy With Continent Urinary Diversion (Rectal Sigmoid Pouch) Performed Completely Intracorporeally: The Initial 5 Cases

Türk, I.; Değer, Serdar; Winkelmann, B.; Schönberger, B.; Loening, Stefan A.

doi:10.1016/s0022-5347(05)66229-5

Cited by 178 publications

(82 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The intracorporeal Mainz II modified ureterosigmoidostomy diversion has been reported in five patients, with good results [17]. Thus, to date, the ileal conduit, the orthotopic ileal neobladder and the sigmoid rectum pouch have all been created laparoscopically with exclusively intracorporeal suturing.…”

Section: Diversionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic radical cystectomy and urinary diversion: fad or future?

Hrouda¹,

Adeyoju²,

Gill³

2004

BJU International

View full text Add to dashboard Cite

Section: Diversionmentioning

confidence: 99%

“…MAINZ II RECTAL SIGMOID POUCH [17] The antimesenteric border of the sigmoid colon and rectum is incised 10 cm proximal and distal to the rectosigmoid junction. In men the specimen is removed in a bag via the anus.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic radical cystectomy and urinary diversion: fad or future?

Hrouda¹,

Adeyoju²,

Gill³

2004

BJU International

View full text Add to dashboard Cite

“…The success of laparoscopy in the most diverse urological procedures led to its employment in complex pelvic surgeries and in the treatment of bladder cancer (2)(3)(4)(5). In selected patients having bladder carcinoma, open partial cystectomy can be performed with similar results and lower morbidity when compared with series of radical cystectomy (6,7).…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic partial cystectomy in bladder cancer: initial experience

Mariano

Tefilli

2004

Int. braz j urol.

View full text Add to dashboard Cite

Proposal: The authors present their initial experience with a selected group of patients who underwent laparoscopic partial cystectomy for treating bladder cancer.Materials and Methods: In the period from June 1997 to April 2000, 6 patients, aged between 38 and 76 years, having transitional cell carcinoma of the bladder, were identified as candidates to partial cystectomy. The procedure employed consisted in laparoscopic partial cystectomy and lymphadenectomy with exclusive intracorporeal suture technique.Results: The proposed procedure was completed in all cases. Mean surgical time was 205 minutes and mean blood loss was 200 mL. There were no significant complications during both intraand post-operative period. Two patients (33%) presented urinary extravasation of less than 50 mL, with spontaneous resolution. Mean hospitalization period was 4 days (2 to 6). The histological analysis of the resected specimens revealed transitional cell carcinoma, stage pT1G3 in case 1, pT2aG2 in cases 2 to 4, pT2bG2 in case 5 and pT3aG3 in case 6. The resection margins, as well as lymph nodes, were free of neoplasia. One patient developed local and metastatic disease, and was treated with salvage chemotherapy. No other case of local or systemic recurrence was observed with a mean follow-up of 30 months.Conclusions: Laparoscopic partial cystectomy can be an alternative surgical method for treating selected cases of patients with transitional cell carcinoma of the bladder.

show abstract

“…7 The formation of an intra-corporeal continent diversion is more challenging and the first completely intracorporeal laparoscopic radical cystectomy with a continent urinary diversion was reported in 2001. 8 There is limited data on use of the robot to create orthotopic urinary diversion and only 107 cases have been reported thus far.…”

Section: Discussionmentioning

confidence: 99%

Robotic radical cystectomy with intracorporeal neobladder: Initial experience and outcomes

Butt¹,

Forbes²,

Zorn³

et al. 2015

CUAJ

View full text Add to dashboard Cite

Introduction: Total intra-corporeal robot-assisted radical cystectomy (RARC) with total intracorporeal neobladder formation is relatively new in the treatment of bladder cancer. We present our experience and believe it is the first Canadian reported series with this technique. Methods: This is a case series of 4 patients, who underwent total RARC, pelvic lymphadenectomy and creation of an intra-corporeal ileal neobladder. Surgical technique is described and perioperative variables, pathologic data, and complication rates are reported. Results: The mean patient age was 61.8 and the mean body mass index was 27.01 kg/m 2 . The mean operative time, estimated blood loss, time to full diet and length of stay were 522.8 minutes (standard deviation [SD] 74.5), 237.5 mL (SD 47.9), 9 days (range: 3-24) and 12.8 days (range: 6-31), respectively. All patients completed postoperative functional evaluation showing a mean neobladder capacity of 575 cc (range: 500-720). Surgical margins and pathological nodal status were negative in all patients with no evidence of disease recurrence or progression on follow-up. Three of the 4 patients suffered a complication within 90 days, with one occurring later in the first year. All early complications were Clavien grade I-II (grade I [n = 1]; grade II [n = 2]) and the later complication was grade IIIa. The mean follow-up was 632 days (range: 562-730). The limitation of our study is its small sample size with highly selected patients to compensate for the learning experience. The follow-up is short; however, the outcomes are comparable to early experiences reported at other institutions. Conclusions: In our initial experience, RARC with total intracorporeal neobladder formation is safe. We expect that with experience the expense of robotic surgery can be compensated with early ambulation and shorter stay.

show abstract

Laparoscopic Radical Cystectomy With Continent Urinary Diversion (Rectal Sigmoid Pouch) Performed Completely Intracorporeally: The Initial 5 Cases

Cited by 178 publications

References 12 publications

Laparoscopic radical cystectomy and urinary diversion: fad or future?

Laparoscopic radical cystectomy and urinary diversion: fad or future?

Laparoscopic partial cystectomy in bladder cancer: initial experience

Robotic radical cystectomy with intracorporeal neobladder: Initial experience and outcomes

Contact Info

Product

Resources

About