Laparoscopic radical cystectomy: key points
https://doi.org/10.17650/1726-9776-2018-14-1-136-143
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
Russian Federation
Competing Interests: Отсутствие конфликта интересов
Russian Federation
1 Pavshikh Bortsov Ploshchad’, Volgograd 400131; 86 im. Generala Karbysheva St., Volzhskiy, Volgograd Region 404120
Competing Interests: Отсутствие конфликта интересов
I. V. Alexandrov
Volgograd State Medical University, Ministry of Health of Russia; Volgograd Regional Center of Urology and Nephrology
Russian Federation
Competing Interests: Отсутствие конфликта интересов
Russian Federation
1 Pavshikh Bortsov Ploshchad’, Volgograd 400131; 86 im. Generala Karbysheva St., Volzhskiy, Volgograd Region 404120
Competing Interests: Отсутствие конфликта интересов
V. P. Zipunnikov
Volgograd State Medical University, Ministry of Health of Russia; Volgograd Regional Center of Urology and Nephrology
Russian Federation
Competing Interests: Отсутствие конфликта интересов
Russian Federation
1 Pavshikh Bortsov Ploshchad’, Volgograd 400131; 86 im. Generala Karbysheva St., Volzhskiy, Volgograd Region 404120
Competing Interests: Отсутствие конфликта интересов
A. O. Shmanev
Volgograd Regional Center of Urology and Nephrology
Russian Federation
Competing Interests: Отсутствие конфликта интересов
Russian Federation
86 im. Generala Karbysheva St., Volzhskiy, Volgograd Region 404120
Competing Interests: Отсутствие конфликта интересов
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Review
For citations:
Perlin D.V., Alexandrov I.V., Zipunnikov V.P., Shmanev A.O. Laparoscopic radical cystectomy: key points. Cancer Urology. 2018;14(1):136-143. (In Russ.) https://doi.org/10.17650/1726-9776-2018-14-1-136-143
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