Laparoscopic prostate-sparing cystectomy: report of 10 cases

doi:10.3877/cma.j.issn.1674-3253.2017.02.005

Abstract

Abstract:

Objective

To evaluate the clinical effectiveness of prostate sparing in laparoscopic radical cystectomy with ileal conduit.

Methods

The clinical data of 10 male patients who underwent prostate sparing laparoscopic radical cystectomy with ileal conduit from January 2012 to June 2015 were retrospectively analyzed. The age of the patients ranged from 37 to 45 years, and the median age was 41 years old. The clinical stage were all T2N0M0.

Results

Ten patients were all operated successfully. The mean operative time was 250 minutes (range 220-340 min). The blood loss was ranged from 350 ml to 800 ml, the median blood loss was 480 ml. They were followed for 6 to 24 months, 9 patients can have erection and ejaculation after 6 months. One patient had distant metastasis and was given chemotherapy, and still alive now.

Conclusion

Based on our early follow-up, the procedure of laparoscopic prostate sparing radical cystectomy with ileal conduit obtain good functional results, but the patients must be strictly screened, sparing the function of erection and ejaculatory can greatly improve the patient's quality of life.

Key words: prostate sparing, Cystectomy, Laparoscopy

Yang Lin, Gang Jin, Yuxin Tian, Xinping Yang, Changdong Zhou, Kai Sun, Yingdi Wang, Yi Liu, Qifu Zhang. Laparoscopic prostate-sparing cystectomy: report of 10 cases[J]. Chinese Journal of Endourology(Electronic Edition), 2017, 11(02): 96-100.

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References 14

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