Clinical experience of extraperitoneal laparoscopic radical cystectomy in 340 cases

Ke Wang; Zhaofeng LI; Zongliang Zhang; Kai Zhao; Xinbao Yin; Guanqun Zhu; Zhenlin Wang; Han Yang; Xueyu LI; Xuechuan Yan; Qinglei Wang; Zaiqing Jiang

Return

Clinical experience of extraperitoneal laparoscopic radical cystectomy in 340 cases

VernacularTitle:腹膜外途径腹腔镜膀胱全切340例经验（“大家泌尿网”观看手术视频）
Author: Ke WANG ¹ ; Zhaofeng LI ¹ ; Zongliang ZHANG ¹ ; Kai ZHAO ¹ ; Xinbao YIN ¹ ; Guanqun ZHU ¹ ; Zhenlin WANG ¹ ; Han YANG ¹ ; Xueyu LI ¹ ; Xuechuan YAN ¹ ; Qinglei WANG ¹ ; Zaiqing JIANG ^{1
,

2}
Author Information

1. Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
2. Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
Publication Type:Journal Article
Keywords: extraperitoneal; laparoscopy; bladder cancer; complication; radical cystectomy
From: Journal of Modern Urology 2024;29(9):762-765
CountryChina
Language:Chinese
Abstract: Radical cystectomy combined with pelvic lymph node dissection is the standard procedure for the treatment of muscle invasive bladder cancer and complex non-muscle invasive bladder cancer.Our department has routinely carried out laparoscopic radical cystectomy (ELRC) through the extraperitoneal approach in 340 cases.This article summarizes the establishment of the peritoneal space, the expansion of the peritoneal space, the operation steps of bladder resection and lymph node dissection through the peritoneal channel, and how to shorten the operation time and reduce the difficulty of the operation. During the surgery, the bladder is removed periperitoneally without destroying the peritoneum to preserve the functions of peritoneum support, secretion, protection and lubrication, which has little impact on the abdominal organs, reduces the incidence of complications, and provides favorable conditions for subsequent treatment.