LAPAROSCOPIC RADICAL CYSTECTOMY: INNOVATIONS AND CLASSICS


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Abstract

Introduction. Radical cystectomy remains the gold-standard treatment for muscle-invasive bladder cancer. To combine the advantages of minimally invasive interventions and the well-established open surgery, we attempted to reproduce as accurately as possible the technique of open radical cystectomy using a laparoscopic procedure. Materials and methods. The study comprised 35 patients (27 men and 8 women) with invasive bladder cancer who underwent laparoscopic radical cystectomy (LRC) between April 2013 and March 2016. The study included only patients with fully intra-corporal ileum conduits. Results. The operating time averaged 378 min., the mean blood loss was 285 ml, the mean postoperative hospital stay was 12.4 days. Only 20% of patients needed postoperative opioid analgesia. Postoperative complications occurred in 11.4% of patients. The vast majority of them were successfully managed by minimally invasive methods. Conclusion. Laparoscopic radical cystectomy is a safe and effective treatment modality for invasive bladder cancer. However, more patients and a longer observation period are needed to recommend the method as a standard of care.

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About the authors

D. V Perlin

Volgograd Regional Uronephrology Center; Volgograd SMU of Minzdrav of Russia

Email: dvperlin@mail.ru
Head Physician; Head of the Department of Urology Volgograd, Russia

I. V Aleksandrov

Volgograd Regional Uronephrology Center; Volgograd SMU of Minzdrav of Russia

Email: ardenza@mail.ru
Deputy Head Physician; Associate Professor at the Department of Urology Volgograd, Russia

V. P Zipunnikov

Volgograd SMU of Minzdrav of Russia

Email: vzipunnikov@yandex.ru
Teaching Assistant at the Department of Urology Volgograd, Russia

M. B Popova

Volgograd Regional Uronephrology Center

Email: marina1991190623@gmail.com
Urologist Volgograd, Russia

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