Extraperitoneal laparoscopic radical cystectomy with intracorporeal neobladder: a comparison with transperitoneal approach

World Journal of Surgical Oncology

Zhou Ting Tuo¹  Jinyou Wang¹  Liangkuan Bi¹  Ying Zhang¹  Huan Zhou¹  Chenyu Sun² 

[1]Department of Urology, The Second Affiliated Hospital of Anhui Medical University

[2]Internal Department, AMITA Health Saint Joseph Hospital

关键词: Laparoscopic radical cystectomy;    Extraperitoneal;    Transperitoneal;    Surgical technique;    Urinary diversion;    Bladder cancer;   

DOI  :  10.1186/s12957-022-02587-1

来源: DOAJ

【 摘 要 】

Abstract Background Bladder cancer is one of the most common genitourinary cancers. Traditional transperitoneal radical cystectomy is the gold standard treatment for muscle-invasive bladder cancer. Our study was to compare the perioperative and oncological outcomes of extraperitoneal laparoscopic radical cystectomy (ELRC) with intracorporeal neobladder versus transperitoneal urinary diversion for bladder cancer. Method A total of 113 patients who underwent laparoscopic radical cystectomy performed at our center were included in this retrospective study. The perioperative data of the extraperitoneal laparoscopic radical cystectomy (ELRC) with intracorporeal urinary diversion (ICUD) and transperitoneal laparoscopic radical cystectomy (TLRC) with ICUD groups were compared. The demographic, perioperative, oncological, and complication data were collected and analyzed. Results In total, 113 patients were enrolled for the final analysis. The median follow-up period was 22 months. The ELRC group had shorter interval to flatus (p < 0.001), solid food (p < 0.001), shorter length of hospital stay (p < 0.01), and fewer early gastrointestinal complications (p < 0.05). Furthermore, urinary continence, recurrence-free, cancer-specific, and overall survival rates and recurrence patterns did not significantly differ. Conclusions Surgical technique of ELRC with ICUD can achieve the established oncologic criteria of TLRC, and such technique can improve perioperative and early postoperative outcomes.

【 授权许可】

Unknown