Pure Laparoscopic Radical Cystectomy with Ileal Conduit: A Single Surgeon's Mid-Term Outcomes

Park, Bumsoo; Jeong, Byong Chang; Jeon, Seong Soo; Lee, Hyun Moo; Choi, Han Yong; Seo, Seong Il

doi:10.3349/ymj.2013.54.4.912

Cited by 9 publications

(8 citation statements)

References 24 publications

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“…In our series, the mean operative time, hospitalization days, average blood loss, and blood transfusion rate were 577.0±126.4 min, 29.4±9.2 days, 280.0±130.38 ml, and 40%, respectively, results were similar with the study of Park et al ( 12 ). However, the operative time was longer than those in other series.…”

Section: Discussionsupporting

confidence: 91%

“…It has been reported that laparoscopic radical cystoprostatectomy with intracorporeal ileal was conducted for urinary diversion for the first time in 2000 ( 10 ). Since then, several groups reported the use of laparoscopy for radical cystectomy and indicated the safety and practicability of LRC ( 11 , 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…Park et al ( 12 ) reported their technique and initial results in pure LRC for muscle-invasive bladder cancer. They performed ileal conduit with a 6-cm sized midline incision extracorporeally after LRC in thirty cases.…”

Section: Discussionmentioning

confidence: 99%

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Technique and results in total laparoscopic radical cystectomy with sigmoidorectal pouch (Mainz pouch II) - an initial experience

Bao

Yue

et al. 2017

Experimental and Therapeutic Medicine

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We used laparoscopic radical cystectomy (LRC) with urinary diversion for muscle-invasive bladder cancer. A series of total LRC is presented with Mainz pouch II after we had gained experience of nearly 200 open radical cystectomy and 23 LRC. Since from October 2010 to April 2012, we performed totally LRC in 5 patients with muscle-invasive bladder cancer with Mainz pouch II as a urinary diversion. We analyzed age, pathological staging, continence, operative time, blood loss, blood transfusion volume, and complications. The mean age of the patients was 58.8±7.6 years (range, 49–69 years), and the follow-up time was 15.4±4.72 months. The mean operative time was 577.0±126.4 min for total LRC, with a mean blood loss of 280.0±130.38 ml and a mean hospital stay of 29.4±9.2 days. Blood transfusion was required in two cases, and immediate and late complications were observed in 2 cases. In conclusion, total LRC with urinary diversion is feasible for the management of muscle-invasive bladder cancer, by experienced surgeons, and despite the high level of difficulty of these procedures.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Technique and results in total laparoscopic radical cystectomy with sigmoidorectal pouch (Mainz pouch II) - an initial experience

Bao

Yue

et al. 2017

Experimental and Therapeutic Medicine

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“…However, contemporary studies have shown that open radical cystectomy morbidity is higher than 50% in reference centers. Most significant complications, such as infections, paralytic ileus, operative wound dehiscence and urinary or intestinal fistulas can be life-threatening in about 10 to 20% of cases ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results

et al. 2015

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Objectives:To evaluate the differences of peri-operatory and oncological outcomes between Laparoscopic Radical Cystectomy and Open Radical Cystectomy in our center.Materials and Methods:Overall, 50 patients were included in this non randomized match-pair analysis: 25 patients who had undergone Laparoscopic Radical Cystectomy for invasive bladder cancer (Group-1) and 25 patients with similar characteristics who had undergone Open Radical Cystectomy (Group-2). The patients were operated from January 2005 to December 2012 in a single Institution.Results:Mean operative time for groups 1 and 2 were 350 and 280 minutes (p=0.03) respectively. Mean blood loss was 330 mL for group 1 and 580 mL for group 2 (p=0.04). Intraoperative transfusion rate was 0% and 36% for groups 1 and 2 respectively (p=0.005). Perioperative complication rate was similar between groups. Mean time to oral intake was 2 days for group 1 and 3 days for group 2 (p=0.08). Median hospital stay was 7 days for group 1 and 13 for group 2 (p=0.04). There were no differences in positive surgical margins and overall survival, between groups.Conclusions:In a reference center with pelvic laparoscopic expertise, Laparoscopic Radical Cystectomy may be considered a safe procedure with similar complication rate of Open Radical Cystectomy. Laparoscopic Radical Cystectomy is more time consuming, with reduced bleeding and transfusion rate. Hospital stay seems to be shorter. Oncologically no difference was observed in our mid-term follow-up.

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“…Radical cystectomy is indicated for persistent Tis, T1 and Ta high-grade disease when BCG therapy is ineffective, as well as for muscle-invasive cancers. Minimally invasive radical cystectomy using laparoscopy or the robotic platform is performed at selected institutions (30,31).…”

Section: Local and Locoregional Bladder Cancermentioning

confidence: 99%

Urologic cancers in Korea

Koo

Lee

Chung

2015

Jpn. J. Clin. Oncol.

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The incidence and prevalence of prostate and kidney cancers have been increasing in Korea during the last decade, and a marked improvement in survival rates has been noted. With a substantial proportion of the cancers diagnosed at an earlier stage of the disease, the landscape of urologic cancer treatment in Korea has been characterized by an exponential increase in the number of patients receiving surgical treatment. Throughout the last decade, an increasing proportion of surgeries have been performed using minimally invasive methods, with a notable increase in robot-assisted surgery.The evaluation and management strategies of urologic cancer in Korea are primarily based on an existing evidence-based framework provided by international guidelines. The adoption and clinical application of novel surgical techniques and systemic agents targeted at advanced stage cancer are promptly adopted; accordingly, multidisciplinary treatment options are often available for various cancers at different stages. At the same time, treatment decisions are greatly influenced by the availability of healthcare resources, which may be limited due to the National Health Insurance reimbursement policy.A racial disparity in cancer features appears to exist for certain urologic cancers among Korean patients, and the optimal management strategy specific for the Korean population has yet to be confirmed. A national comprehensive cancer database is needed for better insight into risk factors, selection of sequential strategies, tumor biology and survival outcome of Korean urologic cancer patients.

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Pure Laparoscopic Radical Cystectomy with Ileal Conduit: A Single Surgeon's Mid-Term Outcomes

Cited by 9 publications

References 24 publications

Technique and results in total laparoscopic radical cystectomy with sigmoidorectal pouch (Mainz pouch II) - an initial experience

Technique and results in total laparoscopic radical cystectomy with sigmoidorectal pouch (Mainz pouch II) - an initial experience

Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results

Urologic cancers in Korea

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