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Korean J Urol Oncol > Volume 3(1); 2005 > Article
The Korean Journal of Urological Oncology 2005;3(1): 39-45.
새로 고안된 손을 이용한 복강경하 근치적 방광적출술 및 체외 회장도관술
공근수, 정세일
동아대학교 의과대학 비뇨기과학교실
Hand assisted Laparoscopic Radical Cystectomy with Extracorporeal Ileal Conduit Diversion: Novel Surgical Technique
Geun Soo Kong , Se Il Jung
Department of Urology, Dong-A University School of Medicine, Busan, Korea
Published online: June 1, 2005.
ABSTRACT
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. (Korean J Uro-Oncol 2005;3:39-45)
Key Words: HALRC; Bladder tumor; Surgical technique
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