Laparoscopic radical cystectomy: key points

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Abstract

Background. Radical cystectomy remains the golden standard for treatment of muscle invasive bladder cancer. Objective: to duplicate with highest accuracy the open radical cystectomy procedure, which we successfully utilized earlier in our clinic, in the of laparoscopic conditions in order to preserve the advantages of minimally invasive procedures and retain the reliability of the tried and tested open surgery.

Materials and methods. In the report were included 35 patients (27 men and 8 women) with bladder cancer, who underwent laparoscopic radical cystectomy in Volgograd Regional Center of Urology and Nephrology between April 2013 and March 2016. Only the patients who had been submitted to full intracorporal ileal conduits were included.

Results. The mean operative time was 378 minutes, the mean blood loss was 285 millilitres, the mean length of hospital stay was 12.4 days, only 20 % of patients required the narcotic anesthetics. The postoperative complication rate was 11.4 %. However, the majority of the patients were successfully treated with minimally invasive procedures. Generally, our results were similar to other reported studies.

Conclusion. Laparoscopic radical cystectomy is a safe and efficient modality of treatment of bladder cancer. However, it needs more procedures and longer observation period to establish laparoscopic radical cystectomy as an alternative to open radical cystectomy.

About the authors

D. V. Perlin

Volgograd State Medical University, Ministry of Health of Russia; Volgograd Regional Center of Urology and Nephrology

ORCID iD: 0000-0002-4415-0903

1 Pavshikh Bortsov Ploshchad’, Volgograd 400131; 86 im. Generala Karbysheva St., Volzhskiy, Volgograd Region 404120

Russian Federation

I. V. Alexandrov

Volgograd State Medical University, Ministry of Health of Russia; Volgograd Regional Center of Urology and Nephrology

ORCID iD: 0000-0003-2628-1640

1 Pavshikh Bortsov Ploshchad’, Volgograd 400131; 86 im. Generala Karbysheva St., Volzhskiy, Volgograd Region 404120

Russian Federation

V. P. Zipunnikov

Volgograd State Medical University, Ministry of Health of Russia; Volgograd Regional Center of Urology and Nephrology

Author for correspondence.
Email: vzipunnikov@yandex.ru
ORCID iD: 0000-0003-0980-4534

1 Pavshikh Bortsov Ploshchad’, Volgograd 400131; 86 im. Generala Karbysheva St., Volzhskiy, Volgograd Region 404120

Russian Federation

A. O. Shmanev

Volgograd Regional Center of Urology and Nephrology

ORCID iD: 0000-0002-8807-8819

86 im. Generala Karbysheva St., Volzhskiy, Volgograd Region 404120

Russian Federation

References

  1. Challacombe B.J., Bochner B.H., Dasgupta P. et al. The role of laparoscopic and robotic cystectomy in the management of muscle-invasive bladder cancer with special emphasis on cancer control and complications. Eur Urol 2011;60(4):767– 75. doi: 10.1016/j.eururo.2011.05.012. PMID: 21620562.
  2. Hemal A.K. Robotic and laparoscopic radical cystectomy in the management of bladder cancer. Curr Urol Rep 2009;10(1):45–54. PMID: 19116095.
  3. Chade D.C., Laudone V.P., Bochner B.H., Parra R.O. Oncological outcomes after radical cystectomy for bladder cancer: open versus minimally invasive approaches. J Urol 2010;183:862–9. doi: 10.1016/j.juro.2009.11.019. PMID: 20083269.
  4. Aleksand- rov I.V., Alekseev B.Ya., Bystrov S.V. et al. Laparoscopic surgery in oncological urology. Eds.: V.B. Matveev, B.Ya. Alekseev. Moscow: ABV-press, 2007. 216 p. (In Russ.).
  5. Puppo P., Introini C., Naselli A. Surgery insight: advantages and disadvantages of laparoscopic radical cystectomy to treat invasive bladder cancer. Nat Clin Pract Urol 2007;4(7):387–94. doi: 10.1038/ncpuro0840. PMID: 17615550.
  6. Sanchez de Badajoz E., Gallego Perales J.L., Reche Rosado A. et al. Radical cystectomy and laparoscopic ileal conduit. Arch Esp Urol 1993;46(7):621–4. PMID: 8239740.
  7. Berger A., Aron M. Laparoscopic radical cystectomy: long-term outcomes. Curr Opin Urol 2008;18(2):167–72. doi: 10.1097/MOU.0b013e3282f4a9dd. PMID: 18303538.
  8. Kim T.H., Sung H.H., Jeon H.G. et al. Oncological outcomes in patients treated with radical cystectomy for bladder cancer: comparison between open, laparoscopic, and robot-assisted approaches. J Endourol 2016;30(7):783–91. doi: 10.1089/end.2015.0652. PMID: 27055782.
  9. Navai N., Dinney C.P. Oncologic equivalence between laparoscopic/robotic and open radical cystectomy. J Urol 2016;195(6):1646–7. doi: 10.1016/j.juro.2016.03.067. PMID: 26994308.
  10. Snow-Lisy D.C., Campbell S.C., Gill I.S. et al. Robotic and laparoscopic radical cystectomy for bladder cancer: long-term oncologic outcomes. Eur Urol 2014;65(1):193–200. doi: 10.1016/j.eururo.2013.08.021. PMID: 24018019.
  11. Matveyev V.B., Volkova M.I., Figurin K.M., Peters M.V. Sparing cystectomy in patients with transitional-cell carcinoma of the urinary bladder. Onkourologiya = Cancer Urology 2009;5(1):27–31. (In Russ.). doi: 10.17650/1726-9776-2009-5-1-27-31.
  12. Ríos González E., López-Tello García J.J., Martínez-Piñeiro Lorenzo L. Laparoscopic radical cystectomy. Clin Transl Oncol 2009;11(12):799–804. PMID: 20045786.
  13. Shao P., Li P., Ju X. et al. Laparoscopic radical cystectomy with intracorporeal orthotopic ileal neobladder: technique and clinical outcomes. Urology 2015;85(2):368–73. doi: 10.1016/j.urology.2014.09.059. PMID: 25623690.
  14. Puppo P., Naselli A. Laparoscopic radical cystectomy. Where do we stand? Arch Esp Urol 2010;63(7):508–19. PMID: 20876946.
  15. Irwin B.H., Gill I.S., Haber G.P., Campbell S.C. Laparoscopic radical cystectomy: current status, outcomes, and patient selection. Curr Treat Options Oncol 2009;10(3–4):243–55. doi: 10.1007/s11864-009-0095-3. PMID: 19363701.
  16. Fergany A.F. Laparoscopic radical cystectomy. Arab J Urol 2012;10(1):40–5. doi: 10.1016/j.aju.2012.01.003. PMID: 26558003.
  17. Aboumarzouk O.M., Drewa T., Olejniczak P., Chlosta P.L. Laparoscopic radical cystectomy: a 5-year review of a single institute’s operative data and complications and a systematic review of the literature. Int Braz J Urol 2012;38(3):330–40. PMID: 22765852.
  18. Haber G.P., Crouzet S., Gill I.S. Laparoscopic and robotic assisted radical cystectomy for bladder cancer: a critical analysis. Eur Urol 2008;54(1):54–62. doi: 10.1016/j.eururo.2008.03.076. PMID: 18403100.

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