Laparoskopna radikalna cistektomija sa ekstrakorporalnom derivacijom urina - početno iskustvo i preliminarni rezultati
Journal
APOLLINEM MEDICUM ET AESCULAPIUM
Date Issued
2020
Author(s)
Shabani, Bashkim
Gurmeshevski, Slobodan
Abstract
SUMMARY
Introduction and objectives: To report our experience
with laparoscopic radical cystectomy (LRC) and extracorporeal
urinary diversion for muscleinvasive bladder cancer.
We have evaluated and summarized the surgical outcomes
and complications of this procedure.
Patients and methods: We have evaluated retrospectively
all patients who underwent LRC at our clinic over a
one year period. In all patients, ureteroileocutaneostomy
(Bricker technique) was performed for urinary derivation.
We have analyzed the following parameters: patient demographic
data, laboratory data, intraoperative fluid volume,
estimated blood loss and transfusion requirements.
Respiratory parameters including arterial blood gas data,
anesthesia time, surgical time, time of oral intake, admission
to ICU (intensive care unit), hospital stay and any
adverse events during the whole period of hospitalization
were also analyzed.
Results: Patients had similar demographic characteristics.
Estimated intraoperative blood loss was 392 ml.
Due to prolonged surgical time and CO2 pneumoperitoneum,
hypercapnia was observed in 3 patients. Patients
had a short period of bowel dysfunction and rapid shift
from parenteral to oral nutrition, short hospital stay and
low rate of surgical compilations.
Conclusion: The results of our study have shown that
laparoscopic radical cystectomy is a safe, feasible, and
effective alternative to open radical cystectomy. Ex tra cor -
po real urinary diversion through a small incision decreases
the operating time, while maintaining the benefits of
laparoscopic surgery. However, some larger prospective
evaluation is to be made for summarizing the overall
conclusions.
Introduction and objectives: To report our experience
with laparoscopic radical cystectomy (LRC) and extracorporeal
urinary diversion for muscleinvasive bladder cancer.
We have evaluated and summarized the surgical outcomes
and complications of this procedure.
Patients and methods: We have evaluated retrospectively
all patients who underwent LRC at our clinic over a
one year period. In all patients, ureteroileocutaneostomy
(Bricker technique) was performed for urinary derivation.
We have analyzed the following parameters: patient demographic
data, laboratory data, intraoperative fluid volume,
estimated blood loss and transfusion requirements.
Respiratory parameters including arterial blood gas data,
anesthesia time, surgical time, time of oral intake, admission
to ICU (intensive care unit), hospital stay and any
adverse events during the whole period of hospitalization
were also analyzed.
Results: Patients had similar demographic characteristics.
Estimated intraoperative blood loss was 392 ml.
Due to prolonged surgical time and CO2 pneumoperitoneum,
hypercapnia was observed in 3 patients. Patients
had a short period of bowel dysfunction and rapid shift
from parenteral to oral nutrition, short hospital stay and
low rate of surgical compilations.
Conclusion: The results of our study have shown that
laparoscopic radical cystectomy is a safe, feasible, and
effective alternative to open radical cystectomy. Ex tra cor -
po real urinary diversion through a small incision decreases
the operating time, while maintaining the benefits of
laparoscopic surgery. However, some larger prospective
evaluation is to be made for summarizing the overall
conclusions.
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