Surgical techniques for facilitating laparoscopic intracorporeal orthotopic neobladder: initial experience
Int. braz. j. urol
; 44(6): 1156-1165, Nov.-Dec. 2018. tab, graf
Article
in En
| LILACS
| ID: biblio-975653
Responsible library:
BR1.1
ABSTRACT
ABSTRACT Purpose:
To describe our technique and outcomes for laparoscopic intracorporeal ileal neobladder (ICNB) reconstruction. Materials andMethods:
From April 2014 to November 2016, 21 patients underwent laparoscopic ICNB at our tertiary referral centre. ICNB with bilateral isoperistaltic afferent limbs and several technique improvements were introduced. Demographics, clinical, and pathological data were collected. Perioperative, 1-year oncologic, 1-year Quality of life and 1-year functional outcomes were reported.Results:
ICNB was successfully performed in all 21 patients without open conversion and transfusion. Mean operative time was 345.6±66.9 min, including 106±22 min for LRC and PLND and 204±46.4 min for ICNB, respectively. Mean established blood loss was 192±146 mL. The overall incidence of 90-d complication was 33.3%, while major complication occurred in 4.8%. One-year daytime and night-time continence rates were 85.7% and 57.1%, respectively. One patient died from myocardial infarction six months postoperatively, and two patients had lung metastasis five months and six months respectively.Conclusions:
We described our experience of 3D LRC with a novel intracorporeal orthotopic ileal neobladder, and the technique improvements facilitate the procedure. However, further studies are required to evaluate long-term outcomes of the intracorporeal neobladder with bilateral isoperistaltic afferent limbs.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Urinary Bladder Neoplasms
/
Urinary Reservoirs, Continent
/
Laparoscopy
Type of study:
Observational_studies
/
Risk_factors_studies
Aspects:
Patient_preference
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
Int. braz. j. urol
Journal subject:
UROLOGIA
Year:
2018
Document type:
Article
Affiliation country:
Country of publication: