Abstract

NUNEZ MORA, C.; GARCIA MEDIERO, J.Mª; CACERES JIMENEZ, F.  and  CABRERA CASTILLO, P.M.. Laparoscopic radical cystectomy: initial experience. Actas Urol Esp [online]. 2007, vol.31, n.8, pp.845-849. ISSN 0210-4806.

Objective: To review our initial experience with laparoscopic radical cystectomy. Patients and methods: Between September 2004 and June 2006 we performed 16 laparoscopic radical cystectomies (14 males and 2 females) with a median age of 63.8 y.o. (51-85). 12 ileal neobladder (with laparoscopic ileal-urethra anastomosis), 3 cutaneous ureteroileostomies and 1 cutaneous ureterostomy were performed as derivation techniques. Median follow up was 12.4 months Results: Mean operation time was 340 minutes. Estimated blood loss was 350ml. and 3 cases required intra-op blood transfusión. Mean hospitalization discharged was at 7.6 days. Median linph node dissection was 22.9 finding node metastasis in 6 cases. Most frequent complication was ileo in two cases. No local recurrentes in trocar placement was achieved. Conclusions: Laparoscopic Radical cystectomy is a challenged long-lasting procedure but with the advantage of a less transfusión rate and short hospital stay. Oncologycal outcomes are similar as tose from open surgery.

Keywords : Radical cystectomy; Laparoscopic; Bladder cancer.

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