Stapleless laparoscopic assisted radical cystectomy with ileal neobladder in a male and with ileal loop in a female: initial report from Brazil
Título del documento: Stapleless laparoscopic assisted radical cystectomy with ileal neobladder in a male and with ileal loop in a female: initial report from Brazil
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000296795
ISSN: 1677-5538
Autores: 1
2
Instituciones: 1Universidade Federal do Ceara, Seccao de Urologia, Fortaleza, Ceara. Brasil
2Universidade Federal de Goias, Goiania, Goias. Brasil
Año:
Periodo: May-Jun
Volumen: 31
Número: 3
Paginación: 214-221
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Teórico, descriptivo
Resumen en inglés INTRODUCTION: Here, we report our initial experience with laparoscopic assisted radical cystectomy without the use of surgical staples. CASES REPORT: A 70 year old male and a 55 year old female were diagnosed to have T2G3 transitional cell carcinoma of the bladder with negative metastatic work-out. both patients were scheduled and agreed to a laparoscopic assisted radical cystectomy. In both cases, urinary diversion (orthotopic ileal Studer neobladder in the male and ileal conduit in the female) was performed extracorporeally following radical cystectomy. In both cases control of the bladder vascular pediclewas accomplished with a combination of metallic and hem-o-lock clips. The total surgical time was 6.5 hours in both cases. Estimated intra-operative blood loss was 500 cc and 350 cc respectively, however both patients required postoperative blood transfusions. No intraoperative complications occurred. In both cases, pathology revealed negative surgical margins. CONCLUSIONS: Extracorporeal creation of urinary diversion decrease the overall operative time. Laparoscopic pelvic lymphadenectomy can be performed following the extended template. The use of surgical clips instead of vascular Endo-GIA titanium staples to control the bladder vascular pedicles is feasible and safe in selected patients, thus reducing intraoperative surgical costs. Considerable experience with laparoscopic radical prostatectomy is necessary before one attempts laparoscopic radical cystectomy
Disciplinas: Medicina
Palabras clave: Cirugía,
Oncología,
Cistectomía,
Vejiga,
Neoplasias,
Linfadenectomía,
Laparoscopia,
Técnicas quirúrgicas
Keyword: Medicine,
Oncology,
Surgery,
Cystectomy,
Bladder,
Neoplasms,
Lymphadenectomy,
Laparoscopy,
Surgical techniques
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