Two-port laparoscopic radical cystectomy with reusable umbilical system: a feasibility study.

Abstract:

OBJECTIVE:To describe the technique and report outcomes of laparoscopic radical cystectomy using 2 ports (2-port LRC) for muscle-invasive bladder cancer. PATIENTS AND METHODS:Prospective study was performed between November 2011 and October 2012 to standardize 2-port LRC, lymph node dissection, and urinary diversion. Twenty patients were intervened (8 ileal conduit, 12 neobladder) and followed up for >1 yr. Median follow-up was 75.5 weeks (interquartile range, 65.2-86 weeks). A reusable system placed through the umbilicus and laparoscopic curved instruments with double rotation, plus one 10-mm extra port placed in the right iliac fossa were used. Neobladder or conduit was performed extracorporeally. Preoperative, perioperative, and pathologic outcomes and long-term security data are presented. RESULTS:Median age was 69.5 years; body mass index, 27.4 kg/m(2); operative time, 335 minutes; estimated blood loss, 337 mL; hospital stay, 9 days; intraoperative transfusion rate, 10%; and visual analog pain score, 3 at day 3. Surgical margin was positive in a case (5%); 3 (15%) were pT0, 2 (10%) pT1, 5 (25%) pT2, 6 (30%) pT3a, 3 (15%) pT3b, and 1 (5%) pT4. The number of nodes removed was 18.5 (interquartile range, 16-29.2), 4 (20%) positive. Complications were major in 2 (10%; fecal peritonitis and urinary sepsis) and minor in 4 (20%; ileus and 3 postoperative transfusion) cases. No case required additional analgesia. Incision was totally hidden in the umbilicus. Continence rate in neobladders was 91.7% at daytime and 75% at nighttime. Study limitation was the absence of a comparative cohort. CONCLUSION:Umbilical 2-port LRC is feasible with good oncologic and functional outcomes, low postoperative pain, and absence of abdominal wall complications. Difficulties have slowed laparoendoscopic single-site radical cystectomy, but umbilical 2-port LRC is a very acceptable alternative for minimally invasive surgery of muscle-invasive bladder cancer.

journal_name

Urology

journal_title

Urology

authors

Angulo JC,Cáceres F,Cabrera PM,García-Tello A,Arance I,Romero I

doi

10.1016/j.urology.2014.07.024

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

1088-93

issue

5

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(14)00735-3

journal_volume

84

pub_type

杂志文章

相关文献

UROLOGY文献大全
  • The Relationship Between Diabetes, Diabetes Severity, Diabetes Biomarkers, and the Presence of Lower Urinary Tract Symptoms: Findings From the National Health and Nutrition Examination Survey.

    abstract:OBJECTIVE:To characterize the associations between diabetes mellitus (DM) and lower urinary tract symptoms (LUTS). This study focuses on the relationships between specific diabetic characteristics (eg, severity, biomarkers) and the prevalence of LUTS. MATERIALS AND METHODS:The 2005-2008 cycles of the National Health a...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2017.03.040

    authors: Tam CA,Helfand BT,Erickson BA

    更新日期:2017-07-01 00:00:00

  • Hemangiopericytoma of renal pelvis--an unusual tumor in an adolescent.

    abstract::Since the initial report of renal hemangiopericytoma in 1955, only 39 cases of this rare vascular neoplasm, involving the renal capsule, parenchyma, or sinus have been described in the world literature. Herein we describe a case of a 15-year-old adolescent boy with this tumor arising from right renal pelvis. A radical...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2007.07.034

    authors: Chaudhary A,Seenu V,Sedain G,Ray R,Sharma S,Agarwal S,Mehta S

    更新日期:2007-10-01 00:00:00

  • Evolution of endoscopic urethropexy: seven-year experience with various techniques.

    abstract::The surgical techniques for correction of stress urinary incontinence continues to evolve particularly those utilizing the endoscopic approach. Various forms of endoscopic urethropexy have been performed in 142 women with a minimum of one-year follow-up. The cure rate for the entire series was 94 percent. In the last ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(91)80103-e

    authors: Kursh ED,Angell AH,Resnick MI

    更新日期:1991-05-01 00:00:00

  • Renal carcinoma with staghorn calculus, perinephric abscess, and xanthogranulomatous pyelonephritis in same kidney. Subcutaneous abscess of thigh as initial presentation.

    abstract::A case is reported of the simultaneous occurrence of renal carcinoma with staghorn calculus, perinephric abscess, and xanthogranulomatous pyelonephritis in the same kidney, with subcutaneous abscess of the thigh as the initial presentation. The coexistence of these diseases in the same kidney would seem to be importan...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(83)90213-3

    authors: Cowley JP,Connolly CE,Hehir M,O'Beirn SF

    更新日期:1983-06-01 00:00:00

  • In vitro chemosensitivity testing of renal cell cancer. Short-term culture technique.

    abstract::In an attempt to solve the problem of chemosensitivity testing of renal cell carcinoma in vitro, a modified short-term culture technique was developed. The kinetic study of hypernephroma cells and normal renal cells showed that the uptake of H3-uridine and H3-thymidine is at its maximum after eighty hours. The effect ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(88)90150-1

    authors: Bazeed MA,Schärfe T,Becht E,Schmidt J,Jacobi GH,Thüroff JW

    更新日期:1988-03-01 00:00:00

  • Effects of sildenafil on human penile blood vessels.

    abstract:OBJECTIVES:To investigate the effects of sildenafil on human penile blood vessels and evaluate the interaction of sildenafil with neurogenic-mediated responses. Sildenafil is currently used in the treatment of erectile dysfunction. METHODS:Penile dorsal arteries and deep dorsal veins were obtained from 14 multiorgan d...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(00)00622-1

    authors: Medina P,Segarra G,Vila JM,Domenech C,Martínez-León JB,Lluch S

    更新日期:2000-09-01 00:00:00

  • The impact of OAB on physical activity in the United States: results from OAB-POLL.

    abstract:OBJECTIVE:To provide data on physical activity among those with and without overactive bladder (OAB) in a large, ethnically diverse U.S. sample. METHODS:A cross-sectional survey was conducted via the Internet among 10,000 men and women aged 18-70 (2000 African Americans, 2000 Hispanics, and 6000 whites) using the lowe...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2013.05.035

    authors: Coyne KS,Sexton CC,Clemens JQ,Thompson CL,Chen CI,Bavendam T,Dmochowski R

    更新日期:2013-10-01 00:00:00

  • Knowledge, beliefs, and prior screening behavior among blacks and whites reporting for prostate cancer screening.

    abstract:OBJECTIVES:A survey to determine prostate cancer-related knowledge, beliefs, and prior screening behavior was administered to men participating in prostate cancer screening events at nine major sites in the southeast. Since prostate cancer disproportionately affects blacks, a primary focus of the analysis was to determ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/S0090-4295(99)80218-0

    authors: Demark-Wahnefried W,Strigo T,Catoe K,Conaway M,Brunetti M,Rimer BK,Robertson CN

    更新日期:1995-09-01 00:00:00

  • Unplanned Hospital Visits in the First 30 Days After Urethral Sling Procedures.

    abstract:OBJECTIVE:To evaluate unplanned hospital visits within 30 days of urethral sling placement in the form of emergency department visits, inpatient admissions, or repeat surgery. METHODS:We accessed nonpublic data from the Office of Statewide Health Planning and Development in the state of California for the years 2005-2...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2017.01.025

    authors: Dallas KB,Rogo-Gupta L,Elliott CS

    更新日期:2017-05-01 00:00:00

  • Robotic Left-sided Level II Caval Thrombectomy and Nephrectomy Using a Novel Supine, Single-dock Approach: Primary Description.

    abstract:OBJECTIVE:To demonstrate a novel supine, single-dock approach for robotic nephrectomy and inferior vena cava (IVC) thrombectomy for a left-sided renal cell carcinoma with level II IVC thrombus. METHODS:We perform robotic nephrectomy and IVC thrombectomy in a 79-year-old man with a 6-cm left renal mass and level II IVC...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2017.10.018

    authors: Aghazadeh MA,Goh AC

    更新日期:2018-02-01 00:00:00

  • Laser tissue soldering in urinary tract reconstruction: first human experience.

    abstract:OBJECTIVES:Laser tissue soldering (LTS) in the urinary tract provides an immediate leak-free seal and may avoid complications seen with conventional repair (such as fistula and stricture). We have begun a Phase I clinical trial investigating the use of LTS in performing urologic reconstructive surgery. METHODS:Ten pat...

    journal_title:Urology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0090-4295(99)80206-4

    authors: Kirsch AJ,Miller MI,Hensle TW,Chang DT,Shabsigh R,Olsson CA,Connor JP

    更新日期:1995-08-01 00:00:00

  • Urinary amino acid excretion patterns in cancer of prostate.

    abstract::The excretion of urinary amino acids obtained from acid hydrolysates were studied by gas chromatographic analysis in 16 normal male subjects and 48 patients with cancer of the prostate. There were no significant differences of the most commonly excreted amimo acids in normal or patient groups or between patients with ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(76)90338-1

    authors: McGregor RF,Johnson DE

    更新日期:1976-08-01 00:00:00

  • Quantification of preoperative stone burden for ureteroscopy and shock wave lithotripsy: current state and future recommendations.

    abstract:OBJECTIVES:To determine which preprocedure imaging modality was used and how the stone burden quantification was assessed before shock wave lithotripsy (SWL) and ureteroscopy (URS) in published studies. MATERIAL AND METHODS:References were searched in the MEDLINE database using the terms "shock wave lithotripsy" and "...

    journal_title:Urology

    pub_type: 杂志文章,评审

    doi:10.1016/j.urology.2010.12.009

    authors: Patel SR,Nakada SY

    更新日期:2011-08-01 00:00:00

  • Transvaginal laparoscopic nephrectomy: development and feasibility in the porcine model.

    abstract:OBJECTIVES:To assess feasibility of laparoscopic nephrectomy completed entirely by way of the vagina in the porcine model. METHODS:Six transvaginal laparoscopic nephrectomies were performed in female farm pigs. Two acute and two 1-week survival animals were used for the study. Before killing the survival animals, a se...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(01)01568-0

    authors: Gettman MT,Lotan Y,Napper CA,Cadeddu JA

    更新日期:2002-03-01 00:00:00

  • Clinical experience with Mentor Alpha I inflatable penile prosthesis. Report on 333 cases.

    abstract::Penile prostheses are a well-established form of therapy for erectile dysfunction. We report our experience with 333 cases using the Mentor Alpha I inflatable penile prosthesis. With a follow-up period of 15.4 months, there were 25 (7.5%) complications with 15 (4.5%) major complications that required reoperation. We a...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(93)90620-p

    authors: Randrup E,Wilson S,Mobley D,Suarez G,Mekras G,Baum N

    更新日期:1993-09-01 00:00:00

  • Management of vaginal extrusion after tension-free vaginal tape procedure for urodynamic stress incontinence.

    abstract:OBJECTIVES:To report our experience in the management of vaginal extrusion after the tension-free vaginal tape (TVT) procedure for urodynamic stress incontinence. METHODS:Five patients diagnosed with vaginal extrusion after a TVT procedure performed at our institution were identified. We reviewed the patients' records...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2007.02.009

    authors: Giri SK,Sil D,Narasimhulu G,Flood HD,Skehan M,Drumm J

    更新日期:2007-06-01 00:00:00

  • Kidney, Ureter, and Bladder (KUB): A Novel Grading System for Encrusted Ureteral Stents.

    abstract:OBJECTIVE:To introduce a grading system (kidney, ureter, and bladder [KUB]) to identify encrusted stents that may require multiple surgeries, multimodal surgery, and operative time > 180 minutes for successful removal. METHODS:One hundred ten retained encrusted ureteral stents were retrospectively scored using the KUB...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2016.06.050

    authors: Arenas JL,Shen JK,Keheila M,Abourbih SR,Lee A,Stokes PK,Li R,Alsyouf M,Lightfoot MA,Baldwin DD

    更新日期:2016-11-01 00:00:00

  • Cost comparison for laparoscopic nephrectomy and open nephrectomy: analysis of individual parameters.

    abstract:OBJECTIVES:To identify the cost components of laparoscopic nephrectomy (LN) that could be targeted to reduce the cost of the procedure. LN is typically more costly than open nephrectomy (ON) because of longer operative times and the use of disposable equipment. METHODS:We compared the overall cost and individual cost ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(02)01611-4

    authors: Lotan Y,Gettman MT,Roehrborn CG,Pearle MS,Cadeddu JA

    更新日期:2002-06-01 00:00:00

  • Vasovasostomy in the rat. Improved technique using absorbable microsuture (polyglycolic acid).

    abstract::An improved technique for vasovasostomy in the rat is presented. To eliminate the suture crowds that could cause obstruction of the vasal lumen, one deep raw suture technique had been employed using polyglycolic acid (Dexon) microsuture. A total of 62 vasal anastomoses in 48 male Lewis rats was performed, and follow-u...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(82)90469-1

    authors: Lee S,Han K,Li SJ,Wolf P,Orloff MJ

    更新日期:1982-10-01 00:00:00

  • Etoricoxib and intermittent androgen deprivation therapy in patients with biochemical progression after radical prostatectomy.

    abstract:OBJECTIVES:To verify whether in patients with biochemical progression after radical prostatectomy (RRP), the administration of a cyclooxygenase-2 (COX-2) inhibitor during the off-phases of intermittent androgen deprivation (IAD) may increase the effectiveness and off-therapy time of intermittent therapy. METHODS:This ...

    journal_title:Urology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.urology.2007.09.033

    authors: Di Silverio F,Sciarra A,Gentile V

    更新日期:2008-05-01 00:00:00

  • Amplatz sheath for cystolithotripsy using Ho: YAG laser in female patients.

    abstract:OBJECTIVE:To evaluate the effectiveness of cystoscopic lithotripsy, we performed Amplatz sheath technique using Ho: YAG laser. Maheshwari first reported the use of an Amplatz sheath in the female urethra in 1998, and Okeke et al reported the use of an Amplatz sheath for male patients during cystolithotripsy in 2004. Th...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2012.07.046

    authors: Kawahara T,Ito H,Terao H,Kato Y,Ogawa T,Uemura H,Kubota Y,Matsuzaki J

    更新日期:2012-11-01 00:00:00

  • Treatment outcome after radical prostatectomy is not adversely affected by a pre-existing penile prosthesis.

    abstract:OBJECTIVES:To report on the safety of radical retropubic prostatectomy (RRP) in patients with a penile prosthesis presenting with clinically localized prostate cancer. METHODS:From January 1990 to December 1997, 8 consecutive men with a penile prosthesis underwent RRP for clinically localized prostate cancer. Retrospe...

    journal_title:Urology

    pub_type: 杂志文章,评审

    doi:10.1016/s0090-4295(98)00372-0

    authors: Tiguert R,Hurley PM,Gheiler EL,Tefilli MV,Gudziak MR,Dhabuwala CB,Pontes JE,Wood DP Jr

    更新日期:1998-12-01 00:00:00

  • Clinical Anatomy of the Puboprostatic Ligament for the Safe Guidance for the Prostate Surgery.

    abstract:OBJECTIVE:To provide the anatomy of the puboprostatic ligament and related structures to save urogenital competence after prostatectomy. MATERIALS AND METHODS:Pelvic areas of 31 adult cadavers were dissected to figure out the shape, number, and location of the puboprostatic ligaments. RESULTS:The puboprostatic ligame...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2019.10.015

    authors: Choi HM,Jung SY,Kim SJ,Yang HJ,Kim JH,Kim YT,Shin JC,Lee HY

    更新日期:2020-02-01 00:00:00

  • A rare case of classic testicular seminoma in an 86-year-old shows similar proliferation rate as in younger men.

    abstract::We present a rare case of classic seminoma in an 86-year-old man. Combined mitotic count, the presence or absence of intravascular invasion, and the expression of PCNA, Ki67, and p53 were compared between this octogenarian and the tumors of four randomly selected standard younger men. These histologic features were ch...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2007.08.006

    authors: Foell K,Martens M,Izawa JI

    更新日期:2007-11-01 00:00:00

  • Clinical experience with carbon dioxide laser in renal surgery.

    abstract::Our clinical experience in renal surgery utilizing the CO2 laser is presented. The inherent characteristics of precision and hemostasis of this modality were found to be useful in the performance of three anatrophic nephrolithotomies and three partial nephrectomies. Operative time ranged between 110 and 120 minutes, w...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(85)90524-2

    authors: Rosemberg SK

    更新日期:1985-02-01 00:00:00

  • Parameatal ducts of glans penis. Structure, symptoms, and treatment of uncommon focus of infection.

    abstract::It has been shown that persistent penile irritation and purulent discharge from around the urethral meatus may rarely be caused by inflammation of tiny tubular structures previously known as paraurethral ducts. They appear to be rare embryologic remnants which can be involved in the venereal disease complex. Local exc...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(84)90217-6

    authors: Gilhooly P,Hensle TW

    更新日期:1984-10-01 00:00:00

  • Neonatal adrenal hemorrhage manifesting as acute scrotum: timely diagnosis prevents unnecessary surgery.

    abstract::Neonatal adrenal hemorrhage presenting as scrotal swelling has been reported in 17 cases, with unnecessary surgical exploration in 7. We report 2 new cases, emphasizing the knowledge of this clinical association and the role of ultrasonography in the differential diagnosis for this specific condition and in all cases ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(01)01610-7

    authors: Avolio L,Fusillo M,Ferrari G,Chiara A,Bragheri R

    更新日期:2002-04-01 00:00:00

  • Limitations to ultrasound in the detection and measurement of urinary tract calculi.

    abstract:OBJECTIVES:To evaluate differences in stone measurement using computed tomography (CT) and ultrasound (US). Axial unenhanced helical CT is the reference-standard imaging modality for the assessment of urinary tract calculi; however, US is also commonly used. Differences in stone measurement using these techniques are p...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2009.12.015

    authors: Ray AA,Ghiculete D,Pace KT,Honey RJ

    更新日期:2010-08-01 00:00:00

  • Medical management of benign prostatic hyperplasia.

    abstract::Medical management of clinical BPH is a reality. The only effective nonsurgical treatment now recommended is aimed at relieving the dynamic component of clinical BPH. Pharmacologic treatment using alpha-adrenoceptor antagonists may be used appropriately to manage patients with prostatism who are poor surgical risks bu...

    journal_title:Urology

    pub_type: 杂志文章,评审

    doi:10.1016/0090-4295(90)80176-n

    authors: Kane MM,Fields DW,Vaughan ED Jr

    更新日期:1990-11-01 00:00:00

  • Do objective urodynamic or clinical findings determine impact of urinary incontinence or its treatment on quality of life?

    abstract:OBJECTIVES:To correlate the clinical and urodynamic parameters with two measures of incontinence-specific quality of life (QOL), to describe the changes in those measures after treatment, and to explore the factors determining these changes. METHODS:A total of 82 incontinent women (mean age 52 years, range 28 to 80) u...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2003.07.022

    authors: Stach-Lempinen B,Kirkinen P,Laippala P,Metsänoja R,Kujansuu E

    更新日期:2004-01-01 00:00:00