PMID: 15368691Sep 17, 2004Paper

Hand assisted laparoscopic radical cystectomy for cancer bladder

International Urology and Nephrology
A K Hemal, Iqbal Singh

Abstract

To evaluate the efficacy, safety and feasibility of hand assistance in performing laparoscopic radical cystectomy and to describe our point of technique of hand assisted laparoscopic radical cystectomy (HALRC) with extra-corporeal ileal conduit reconstruction for muscle invasive bladder cancer. This is the second case report of HALRC in the world literature. A five-port transperitoneal laparoscopic approach with an indigenous hand port was used to perform the radical cystectomy in a patient with muscle invasive TCC of bladder. After specimen retrieval, ileal conduit reconstruction was performed extra-corporeally through the site of hand port incision. HALRC was successfully completed in 4.3 hrs and the patient was discharged on the 7th day. The blood loss was 500 ml, and patient was transfused 2 units of blood, as the pre operative hemoglobin was 9 gms%. The analgesic requirement was 350 mgs of Pethidine (equivalent to 35 mgs of Morphine) and 450 mgs of oral Diclofenac Sodium. It took about 23 days for patient to resume normal activity. The histopathology was reported as T3b, left perivesical margin was positive and 2/5 of left pelvic lymph nodes were also involved. However, 7 lymph nodes removed from the right side did not sho...Continue Reading

Citations

Feb 19, 2005·Current Urology Reports·David CanesIngolf Tuerk
Mar 31, 2005·Journal of Endourology
Mar 7, 2006·Journal of Clinical Anesthesia·Frederic J GergesSamar I Jabbour-Khoury
Jan 6, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Sheng-zheng WangYong-hai Zhang

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