V1887: Robotic-assisted Laparoendoscopic Single Site Radical Cystoprostatectomy
VideoIntroduction and Objectives
Objective: Technique of laparoendoscopic single-site surgery for radical cystectomy and bilateral pelvic lymph node dissection.
Materials and Methods: novel, single multichannel port and flexible laparoscopic instruments and laparoscope were used for all procedures. The eligible patients had transitional cell carcinoma that was muscle invasive or refractory to intravesical therapy. No additional ports were needed, and lymphadenectomy was performed using an extended template up to the aortic bifurcation
Results: A total of 3 patients (2 men and 1 woman) underwent radical cystectomy with bilateral pelvic lymph node dissection. All the procedures were completed successfully. All patients underwent extracorporeal urinary diversion by way of extension of the umbilical port site. The operative time was 315 ± 40 minutes, and the blood loss was minimal (217 ± 29 mL). The pathologic evaluation revealed negative margins and negative lymph node involvement. All patients were discharged within 1 week with minimal postoperative pain. At a minimum of 2 years of follow-up (range 24-26 months), no evidence of recurrent or metastatic disease was detected.
Laparoendoscopic single-site surgery for radical cystectomy and bilateral pelvic lymph node dissection is feasible and safe for select patients.