Complications of laparoscopic radical cystectomy during the initial experience

International Journal of Urology : Official Journal of the Japanese Urological Association
Ashok K HemalNarmada P Gupta

Abstract

Radical cystectomy is the standard of care for patients with muscle invasive bladder cancer. While open radical cystectomy is now a standard procedure, laparoscopic radical cystectomy is still in its infancy. We performed this surgery laparoscopically in 11 patients and review the procedure specific complications. Beginning in February 1999, 11 patients underwent laparoscopic radical cystectomy at the Department of Urology, All India Institute of Medical Sciences, New Dehli. Urinary diversion was performed by an open-hand sewn ileal conduit. There were three intraoperative complications specifically related to the laparoscopic radical cystectomy. These included injury to the external iliac vein in one patient and a small rectal tear in two. All were repaired with laparoscopic free hand suturing with normal postoperative recovery. Other laparoscopy-related complications were subcutaneous emphysema in one patient and hypercarbia necessitating conversion to open surgery in a patient who, four weeks after surgery, died of multiple organ failure. One patient had margins positive and received cisplatinum-based chemotherapy. All patients had normal renal function and preserved upper tracts with no evidence of metastasis at a mean of 1...Continue Reading

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Citations

Feb 19, 2005·Current Urology Reports·Osamu UkimuraInderbir S Gill
Feb 19, 2005·Current Urology Reports·Nikhil L ShahMani Menon
Feb 14, 2006·Nature Clinical Practice. Urology·N Peter Wiklund
Jan 12, 2008·Journal of Endourology·Jose Benito A AbrahamDavid K Ornstein
Jan 1, 2007·Journal of Robotic Surgery·Rahul ThalyVipul R Patel
Jun 1, 2005·European Urology·Xavier CathelineauGuy Vallancien
Oct 12, 2004·The Urologic Clinics of North America·Ashok K HemalMani Menon
Jul 4, 2006·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Octavio A CastilloGilvan N Fonseca
May 20, 2015·World Journal of Clinical Cases·Sergio Fernández-Pello MontesJavier Mosquera Madera
Dec 1, 2008·Journal of Robotic Surgery·G Joel DeCastroKetan K Badani

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