Laparoscopic Radical Cystoprostatectomy: A Technique Illustrated Step by Step

Simonato, Alchiede; Gregori, Andrea; Lissiani, A.; Bozzola, A.; Galli, Stefano; Gaboardi, Franco

doi:10.1016/s0302-2838(03)00214-8

Cited by 63 publications

(22 citation statements)

References 16 publications

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“…All of the technical steps of an open radical cystectomy with urinary diversion have been translated into equivalent laparoscopic maneuvers. 14,15 Indeed, laparoscopic cystectomy can be safely performed by a few highly skilled laparoscopic surgeons, [16][17][18][19] but the technical challenges required to complete this procedure have limited the widespread application of laparoscopy to the management of invasive bladder cancer.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of Laparoscopic and Robot-Assisted Radical Cystectomy with Ileal Conduit Urinary Diversion

Abraham

Young

Box

et al. 2007

Journal of Endourology

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Section: Discussionmentioning

confidence: 99%

Comparative Analysis of Laparoscopic and Robot-Assisted Radical Cystectomy with Ileal Conduit Urinary Diversion

Abraham

Young

Box

et al. 2007

Journal of Endourology

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“…Vascular pedicles were secured with a stapler in seven of 18 series. Some papers reported excellent vascular control mean harmonic scalpel [17,21]. Extreme attention is paid to avoid tumor spillage during dissection because tumor seeding is common for transitional cell cancer.…”

Section: Technical Aspectsmentioning

confidence: 99%

Laparoscopic radical cystectomy

Puppó

Naselli²

2005

Curr Urol Rep

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Laparoscopic radical cystectomy is an emerging technique. It has been proposed as an alternative to open radical cystectomy, which is the gold standard treatment of muscle-invasive or high-risk superficial bladder cancer. The experience in laparoscopic radical cystectomy reported in peer-reviewed journals account for approximately 100 cases, with a median longest follow-up of 11.5 months. Safety of the technique and cancer control need to be confirmed by a larger cohort of patients; however, after an initial analysis, it seems to be equivalent to open radical cystectomy. Equivalent does not mean better. Long-term results will determine if supposed benefits of laparoscopy overweigh the true increment of cost and time.

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“…[2][3][4][5] In all cases, the risk of spillage of TCC from the membranous urethra caused a dilemma, and therefore, many alternative techniques have been proposed. For instance, Surena and Gill 2 fill the bladder with 200 mL of 2% Formalin before sectioning the urethra, in order to fix the cells and annihilate their oncogenic effects.…”

Section: Discussionmentioning

confidence: 99%