Corona MJ, López VJF

Language: Spanish
References: 12
Page: 85-91
PDF size: 819.03 Kb.

ABSTRACT

Introduction: Laparoscopic radical cystectomy (LRC) and laparoscopically assisted ileal conduit. Description of the technique and comparison whit open approach. Background: Radical surgery still remains the choice treatment for invasive bladder cancer. Technological and scientific developments allow the laparoscopic surgery nowadays, its application with safety and effectiveness in complex procedures as the radical cystectomy and urinary diversion. Objective: To describe the laparoscopic radical cystectomy and laparoscopically assisted ileal conduit technique. To determine the possible advantages between the LRC and the open approach in the treatment of the invasive bladder cancer. Methodology: Eight consecutive patients with invasive bladder cancer and without metastases underwent radical surgery: For with laparoscopic approach and laparoscopically assisted ileal conduit and for with conventional approach. The cystectomy and pelvic lymph node dissection were performed and the ileal loop segment isolated. Using a 4-cm incision extended from the second port, the ileum was reanastomosed with suture, the uretero-ileal anastomosis completed intracorporeally over stents and the stoma fashioned in the second port site. We compared operative duration, blood loss, complications and hospital stay. Results: We obtain a clear decrease in blood loss, and had fewer complications and a shorter hospital stay with LRC. There was a short operative time in the open approach. Conclusions: LRC and laparoscopically assisted ileal conduit construction is an accessible and safety option in the treatment of invasive bladder cancer. Improvement in the operative time and urinary diversion modality are the objective in the near future.

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