Hand assisted laparoscopic cystectomy with minilaparotomy ileal conduit: series report and comparison with open cystectomy

The Journal of Urology
Grant D TaylorKenneth S Koeneman

Abstract

To achieve less patient morbidity our initial experience with hand assisted laparoscopic (HAL) cystectomy was compared with our results of open cystectomy with similar urinary diversion. During 18 months 36 cystectomies were performed, including 20 with open continent diversion. A prospective, nonrandomized comparison of the remaining 16 consecutive cystectomies with ileal conduit diversion (hand assisted laparoscopic cystectomy and open cystectomy in 8 cases each) was performed. Of the 16 cystectomies 13 were performed for muscle invasive bladder cancer. Standard parameters were compared concerning patient operative and postoperative courses using statistical analysis with the 2-tailed t test. A novel surgical technique for completing these HAL procedures is described and compared to standard open cystectomy and ileal conduit diversion. A total of 16 patients successfully underwent open (8) and HAL (8) cystectomy with an ileal conduit. Mean estimated blood loss in the HAL and open groups was 637 and 957 cc, respectively (p = 0.23). The mean postoperative parenteral analgesia administered was 31 mg in the HAL group vs 149 mg in the open group (p = 0.01). The HAL and open groups had a mean length of stay of 6.4 vs 9.8 days (p = ...Continue Reading

References

Oct 1, 1992·The Journal of Urology·R O ParraJ A Boullier
Feb 1, 1995·Journal of Endourology·E Sánchez de BadajozA Jimenez Garrido
Jan 5, 2002·Journal of Endourology·S Troxel, S Das
Sep 14, 2002·Journal of Endourology·Amr M Abdel-HakimHesham Fathi
Dec 10, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·John J KellyElias J Arous
Jan 7, 2003·Archives of Surgery·Gregg ShoreSelwyn M Vickers
Feb 1, 2003·Urology·Michael D StifelmanSteven J Shichman
Mar 4, 2003·Archives of Surgery·Anthony J SenagoreConor P Delaney

❮ Previous
Next ❯

Citations

Mar 25, 2006·World Journal of Urology·Nicole L Miller, Dan Theodorescu
Feb 19, 2005·Current Urology Reports·Paolo Puppo, Angelo Naselli
Feb 19, 2005·Current Urology Reports·David CanesIngolf Tuerk
Feb 19, 2005·Current Urology Reports·Nikhil L ShahMani Menon
Mar 31, 2005·Journal of Endourology
May 22, 2013·Journal of Endourology·Omar M AboumarzoukHoward Kynaston
Aug 22, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Marcos Tobias-MachadoEric R Wroclawski
Feb 19, 2005·Current Urology Reports·R F van Velthoven, T Piechaud
Sep 2, 2008·The Urologic Clinics of North America·Amr F Fergany, Inderbir S Gill
May 13, 2008·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·G Lesur, M Rouprêt
Apr 12, 2008·European Urology·Georges-Pascal HaberInderbir S Gill
Jan 6, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Sheng-zheng WangYong-hai Zhang
Aug 3, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Daisuke IshiiShiro Baba
Oct 13, 2006·BJU International·Bikram RaychaudhuriProkar Dasgupta
Jan 13, 2011·BJU International·Jørgen B JensenKlaus M Jensen
Feb 8, 2007·Current Opinion in Urology·Xavier Cathelineau, Jamison Jaffe
Dec 25, 2007·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Jacques IraniChristine Theodore

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.