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Extraperitoneal versus transperitoneal laparoscopic radical cystectomy for selected elderly bladder cancer patients: a single center experience
Feng, Lang; Song, Jian; Wu, Menghua; Tian, Ye; Zhang, Daoxin.
Afiliação
  • Feng, Lang; Capital Medical University. Beijing Friendship Hospital. Department of Urology. Beijing. CN
  • Song, Jian; Capital Medical University. Beijing Friendship Hospital. Department of Urology. Beijing. CN
  • Wu, Menghua; Capital Medical University. Beijing Friendship Hospital. Department of Urology. Beijing. CN
  • Tian, Ye; Capital Medical University. Beijing Friendship Hospital. Department of Urology. Beijing. CN
  • Zhang, Daoxin; Capital Medical University. Beijing Friendship Hospital. Department of Urology. Beijing. CN
Int. braz. j. urol ; 42(4): 655-662, July-Aug. 2016. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: lil-794668
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

Objective:

This study reports the initial experience of extraperitoneal laparoscopic radical cystectomy (ELRC) and compared with transperitoneal laparoscopic radical cystectomy (TLRC) in the treatment of selected elderly bladder cancer patients. Patients and

Methods:

A total of forty male bladder cancer patients who underwent ELRC (n=19) or TLRC (n=21) with ureterocutaneostomy were investigated. Demographic parameters, perioperative variables, oncological outcomes and follow-up data were retrospectively analyzed.

Results:

A significantly shorter time to exsufflation (1.5±0.7 vs 2.1±1.1 d; p=0.026) and liquid intake (1.8±0.9 vs 2.8±1.9 d; p=0.035) were observed in the ELRC group compared with the TLRC group. The incidence of postoperative ileus in the ELRC group was lower than the TLRC group (0 vs 9.5%). However, the difference had no statistical significance (p>0.05). The removed lymph node number in the ELRC group was significantly lower than the TLRC group (p<0.001). No significant differences were observed between the two groups in the overall and cancer-free survival rates (p>0.05).

Conclusions:

ELRC seems to be a safe and feasible surgical strategy for the selected elderly bladder cancer patients with ≤ T2 disease. The surgical and oncological efficacy of the ELRC is similar to that of the TLRC, but with faster intestinal function recovery. Further studies with a large series including different urinary diversions are needed to confirm our results and to better evaluate the benefit of ELRC in bladder cancer patients.

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2016 Tipo de documento: Artigo País de afiliação: China Instituição/País de afiliação: Capital Medical University/CN

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2016 Tipo de documento: Artigo País de afiliação: China Instituição/País de afiliação: Capital Medical University/CN
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