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KMID : 1001020050030010039
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Journal of Urologic Oncology
2005 Volume.3 No. 1 p.39 ~ p.44
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Hand assisted Laparoscopic Radical Cystectomy with Extracorporeal Ileal Conduit Diversion: Novel Surgical Technique
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Kong Geun-Soo
Jung Se-Il
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Abstract
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Purpose: We present our experience performing hand-assisted laparoscopic radical cystectomy(HALRC) and evaluate the feasibility and potential benifits of this operation technique.
Materials and Methods: Between January 2004 and June 2004, hand assisted radical cystectomy was performed on 3 patients with clinically organ confined bladder cancer. We performed a radical cystectomy and removing the specimen through the hand port site. The ileal loop urinary diversion was constructed by pulling the small bowel through the hand port incision. We made a stoma and through a port site and a drain was placed through a port site, also. The incision was closed in the standard fashion.
Results: The hand-assisted laparoscopic radical cystectomy for bladder cancer was successfully performed in 3 patients. Operative time was about 7 hours and estimated blood loss was 500cc. All surgical margins were negative. The patients can ambulate on postoperative day 2 and resumed oral intake on postoperative day 3. Drain tube and ureteral catheter was removed on postoperative day 7 and 8. He did not have any complication and discharged from the hospital on postoperative day 8.
Conclusions: Hand-assisted laparoscopic radical cystectomy is feasible, safe and minimally invasive procedure with a high primary success rate and reduce morbidity.
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KEYWORD
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HALRC, Bladder tumor, Surgical technique
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