PURPOSE: We determined whether laparoscopic radical cystectomy (LRC) was useful for the patients with bladder cancer.
MATERIALS AND METHODS: We investigated the surgical outcome of LRC in the initial 30 patients with bladder cancer.
RESULTS: Mean patients age was 68 (54-81) years old. Twenty six male and 4 female were enrolled. Lymphnode dissection was variably performed under aeroperitoneum. Twenty six patients were undergone ileal conduit and 4 patients were undergone ileal neobladder as urinary diversion. The urinary diversion of all cases was undergone extra-corporeally. Seventeen patients were received platinum based neo and adjivant-chemotherapy. Mean surgical time was 684 (398-950) min, and mean aeroperitoneum time was 418 (235-660) min. Intraoperative major complications were ureter injury and blood loss. Mean blood loss was 1,063 (150-2,730) ml intraoperatively. Ileus and acute pyeronephritis were observed in the 3 patients postoperatively. Seven patients relapsed and 2 patients died with bladder cancer in 14.9 months of median follow-up period (0.7-35.9) after the surgery. Progression free survival rate and overall survival rate at a year after surgery were 75.2% and 100%, respectively.
CONCLUSIONS: The surgical therapy with LRC was well tolerated and successful in the patients with bladder cancer.
Written by:
Karashima T, Inoue K, Fukata S, Ashida S, Shimamoto T, Fukuhara H, Anchi T, Kamei M, Tamura K, Yamasaki I, Kamada M, Satake H, Shuin T. Are you the author?
Department of Urology, School of Medicine, Kochi University, Nankoku, Japan.
Reference: Nihon Hinyokika Gakkai Zasshi. 2013 Sep;104(5):644-50.
PubMed Abstract
PMID: 24187851
Article in Japanese.
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