Minimally Invasive Laparoscopic Neobladder

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

doi:10.1016/s0022-5347(05)64579-x

Cited by 56 publications

(21 citation statements)

References 14 publications

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“…However, numerous reports showed success with the procedure in addition to success with urinary diversion methods [15,16,17,18,19]. Centers reported successful results with intra- and extracorporeal urinary diversion [15,19,20,21]. …”

Section: Discussionmentioning

confidence: 99%

“…Researchers would agree that extracorporeal diversion is associated with decreased operation time, while also providing a more secure anastomosis [20]. As in the study of Gaboardi et al [20], we performed all the diversions as extracorporeal procedures. Leakage from anastomosis was seen in 3 patients of our study group (2 in LRCP, 1 in ORCP).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Open and Laparoscopic Radical Cystoprostatectomy Combined with Orthotopic Neobladder: A Single-Surgeon Experience

et al. 2013

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Aim: To compare the outcomes of laparoscopic (LRCP) and open radical cystoprostatectomy (ORCP) with orthotopic urinary diversion for muscle-invasive organ-confined bladder cancer by a single surgeon. Patients and Methods: Prospectively documented 15 LRCP and 15 ORCP patients, followed for at least 3 years, were included in our study. The demographic parameters of patients, preoperative radiologic staging, previous operations, surgical outcomes, complications, oncologic results and intermediate-term follow-up, postoperative chemotherapy and follow-up periods were recorded and evaluated. Results: The mean oncologic follow-up was 3 years. Transfusion rate, estimated blood loss, oral intake and narcotic analgesic requirement were statistically less in the LRCP group (p < 0.05). However, operation time and hospital stay were similar in both groups. The complication rates were not significantly different between the two groups. The mean number of dissected lymph nodes was 20.0 ± 1.7 in the ORCP and 22.6 ± 2.0 in the LRCP group. One patient in each group had a margin positive for bladder cancer. Conclusions: The laparoscopic approach may be feasible for muscle-invasive organ-confined bladder cancer. Furthermore, LRCP provides less blood loss, early oral intake and postoperative pain management. Additionally, continence and sexual function may be provided by LRCP as with ORCP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of Open and Laparoscopic Radical Cystoprostatectomy Combined with Orthotopic Neobladder: A Single-Surgeon Experience

et al. 2013

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“…A 5 cm supraumbilical incision was chosen after anatomical studies in cadavers showed that it provides sufficient access to isolate the intestinal loop and restore bowel continuity. 17 The same incision was used to de-liver a terminal ileum onto the surface and construct the urinary diversion in the standard hand-sewn way. It helps to ensure the preservation of bowel vascularization during isolation of the ileal loop due to the use of transillumination and to prevent future intestinal mechanical obstruction due to the re-approximation of mesenteric margins.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic radical cystectomy with extracorporeal urinary diversion: Preliminary experience

et al. 2005

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Aim : We present our experience with the first eight patients who underwent laparoscopic radical cystectomy with bilateral pelvic lymphadenectomy and extracorporeal urinary diversion. Patients, operative data and the surgical techniques are presented. Methods : Between June 2003 and April 2004, seven men and one woman with organ-confined muscle-invasive transitional cell carcinoma of the bladder underwent laparoscopic radical cystectomy with urinary diversion. The age range was 41-73 years. Laparoscopic radical cystectomy and bilateral pelvic lymphadenectomy were performed using five ports by a transperitoneal approach. An ileal conduit diversion or ileal W-neobladder was constructed through the site of specimen retrieval.Results : We performed eight radical cystectomies with ileal conduits (six cases) or orthotopic ileal W-neobladders (two cases). Conversion to open surgery was necessary in one due to technical difficulty in urethroneobladder anastomosis. Mean operating time was 560 min (range 455-680).Mean estimated blood loss was 675 mL (range 400-1050). Two of the eight patients needed blood transfusion (800 mL each). Mean days to oral intake and ambulation was 4.4 (range 2-6) and 4.1 (range 3-5), respectively. Mean hospital stay was 12.8 days (range 7-28). Mean follow up was 6.1 months (range 4-14). Histopathological examination of the specimens revealed stage T2N0M0 in five cases, T3aN0M0 in one, T3aN1M0 in one and T3bN1M0 in one. No metastases have been detected and all are alive and free of disease. Conclusion : Laparoscopic radical cystectomy is feasible, although difficult and technically demanding, and our results are promising. With more experience and improvement of the surgical technique, laparoscopic radical cystectomy with urinary diversion may become an alternative surgical method for treating the selected patients with localized muscle invasive bladder cancer.

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“…La parte más compleja de la cirugía, está representada por la elabora- También se han publicado series con derivaciones urinarias continentes realizadas con técnica completamente laparoscópica [52][53][54] . Series recientes de cistectomía radical laparoscópica muestran bajas tasas de complicaciones, aunque la experiencia acumulada aún no es suficiente para compararlas frente a la cirugía abierta.…”

Section: Cistectomía Radicalunclassified

Complicaciones en cirugía laparoscópica urológica

Galicia-Castillo

Cortés²

2006

Actas Urol Esp

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RESUMENCOMPLICACIONES EN CIRUGÍA LAPAROSCÓPICA UROLÓGICA La cirugía laparoscópica urológica ha tenido un considerable crecimiento en la última década, trayendo consigo un incremento en el número y espectro de complicaciones. Los informes de los centros con experiencia en esta técnica permiten prevenir y reconocer oportunamente las complicaciones propias de cada cirugía, así como manejarlas de manera segura y eficiente. Presentamos las complicaciones de nuestras cirugías laparoscópicas a partir de un registro prospectivo de todos los pacientes operados por laparoscopia en nuestra Unidad desde noviembre de 1992 a junio del 2005.Para la presentación de las complicaciones clasificamos los procedimientos por grados de complejidad y hacemos una revisión de la literatura dirigida a las complicaciones de cada cirugía.Palabras clave: Complicaciones. Laparoscopia. Urología. ABSTRACT COMPLICATIONS OF LAPAROSCOPIC UROLOGICAL PROCEDURESLaparoscopic urology has evolved considerably during last decade as well as number and spectrum of surgical related complications.Experiences reported by laparoscopic trained groups allow preventing, promptly recognizing, and safe and efficient management of the laparoscopic related complications.We present our complications in all patients undergoing urological laparoscopic procedures from November 1992 to June 2005. A literature search was conduced to evaluate complications of every laparoscopic procedure.

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Minimally Invasive Laparoscopic Neobladder

Abstract: To our knowledge we report the first case of laparoscopic radical cystectomy with ileal orthotopic reconstruction. This original technique combines the advantages of minimally invasive laparoscopy with the speed and safety of open surgery.

Cited by 56 publications

References 14 publications

Evaluation of Open and Laparoscopic Radical Cystoprostatectomy Combined with Orthotopic Neobladder: A Single-Surgeon Experience

Evaluation of Open and Laparoscopic Radical Cystoprostatectomy Combined with Orthotopic Neobladder: A Single-Surgeon Experience

Laparoscopic radical cystectomy with extracorporeal urinary diversion: Preliminary experience

Complicaciones en cirugía laparoscópica urológica

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