Application of modified pelvic lymphadenectomy in laparoscopic radical cystectomy

doi:10.3877/cma.j.issn.1674-3253.2020.03.013

Abstract

Abstract:

Objective

To explore the efficacy of improved standard pelvic lymphadenectomy during laparoscopic radical cystectomy.

Methods

From February 2013 to December 2019, a retrospective analysis of patients with bladder cancer who underwent laparoscopic cystectomy and improved standard pelvic lymphadenectomy was perfromed. Of the 145 cases in this group, 133 were male and 12 were female. Nine patients were clinically staged T1, 105 cases were T2, and 31 cases were T3.

Results

All patients underwent standard pelvic lymphadenectomy with improved surgical methods, and no massive blood loss occurred during the operation, average intraoperative blood loss was 25 ml. Time of bilateral lymphadenectomy was 35-62 minutes, with an average of 42 minutes. 8-32 lymph nodes cleared, average 16.3. No blood transfusion was required during the operation.

Conclusions

By optimizing and improving the surgical method, it can effectively reduce the bleeding during standard pelvic lymphadenectomy, improve the thoroughness of pelvic lymphadenectomy, and reduce the complications of surgery.

Key words: Bladder Cancer, Laparoscopy, Radical surgery, Lymphadenectomy, Layer anatomy

shouqiang Wang, Jiongming Li, Jianhe Liu, Guang Wang, Pei Li, Xing Shi, Fei Duan, Prashant. Application of modified pelvic lymphadenectomy in laparoscopic radical cystectomy[J]. Chinese Journal of Endourology(Electronic Edition), 2020, 14(03): 212-214.

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https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2020/V14/I03/212

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