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oai:ebyu-rdlopen.rawdatalibrary.net:ebyu/155122026-10-18T21:14:29Zopenairedrivercom_ebyu_10000col_ebyu_10001

Evaluation of open and laparoscopic radical cystoprostatectomy combined with orthotopic neobladder: A single-surgeon experienceAkin, YigitCelik, OrcunAtes, MutluNuhoglu, BarisErdogru, TibetBladder cancerCystectomyLaparoscopySurgeryAgedChi-Square DistributionFollow-Up StudiesHumansMaleMiddle AgedNeoplasm InvasivenessPostoperative ComplicationsProspective StudiesProstatectomyReconstructive Surgical ProceduresRisk FactorsSurgically-Created StructuresTime FactorsTreatment OutcomeTurkeyUrinary Bladder Neoplasmspethidinecisplatingemcitabinenarcotic analgesic agentsildenafiladultarticlebleedingblood transfusionAim: To compare the outcomes of laparoscopic (LRCP) and open radical cystoprostatectomy (ORCP) with orthotopic urinary diversion for muscle-invasive organ-confined bladder cancer by a single surgeon. Patients and Methods: Prospectively documented 15 LRCP and 15 ORCP patients, followed for at least 3 years, were included in our study. The demographic parameters of patients, preoperative radiologic staging, previous operations, surgical outcomes, complications, oncologic results and intermediate-term follow-up, postoperative chemotherapy and follow-up periods were recorded and evaluated. Results: The mean oncologic follow-up was 3 years. Transfusion rate, estimated blood loss, oral intake and narcotic analgesic requirement were statistically less in the LRCP group (p < 0.05). However, operation time and hospital stay were similar in both groups. The complication rates were not significantly different between the two groups. The mean number of dissected lymph nodes was 20.0 ± 1.7 in the ORCP and 22.6 ± 2.0 in the LRCP group. One patient in each group had a margin positive for bladder cancer. Conclusions: The laparoscopic approach may be feasible for muscle-invasive organ-confined bladder cancer. Furthermore, LRCP provides less blood loss, early oral intake and postoperative pain management. Additionally, continence and sexual function may be provided by LRCP as with ORCP. Copyright © 2013 S. Karger AG, Basel.KARGER2013Articlehttps://rdlopen.rawdatalibrary.net/r/ebyu/15512https://doi.org/10.1159/0003467551423-0399enUrologia Internationalisinfo:eu-repo/semantics/openAccessinfo:eu-repo/semantics/articlehttps://ebyu-rdlopen.rawdatalibrary.net/tr/items/ebyu/15512