Korean J Urol.  2007 Sep;48(9):990-993. 10.4111/kju.2007.48.9.990.

Laparoscopic Partial Cystectomy for Adenocarcinoma of the Bladder

• Kim BH
• Kim JH
• Park WJ
• Ryu DS
• Kwon JO
• Oh TH

• KMID: 2061304
• DOI: http://doi.org/10.4111/kju.2007.48.9.990

Abstract

From February 2004 to August 2005, 3 patients with muscle invasive bladder adenocarcinoma were identified as candidates for partial cystectomy, and they underwent laparoscopic partial cystectomy. Case 1 and case 2 were primary bladder adenocarcinoma with a pathologic stage of T3aN0M0 and T2bN0M0, respectively, and case 3 was metastatic bladder adenocarcinoma from gastric cancer. The mean surgical time was 213 minutes(range: 140-300). The blood loss was 117cc(range: 60-220), respectively. There were no significant complications after surgery. During a mean follow-up period of 22 months, case 1 and case 2 with primary adenocarcinoma did not have local or systemic recurrence, but case 3 with metastatic adenocarcinoma had intra-abdominal recurrence without local recurrence. Laparoscopic partial cystectomy is a safe, feasible, minimally invasive alternative to open partial cystectomy for treating selected cases of patients with muscle invasive bladder adenocarcinoma.

Keyword

Laparoscopy; Cystectomy; Urinary bladder neoplasms; Adenocarcinoma

MeSH Terms

Adenocarcinoma*
Cystectomy*
Follow-Up Studies
Humans
Laparoscopy
Operative Time
Recurrence
Stomach Neoplasms
Urinary Bladder Neoplasms
Urinary Bladder*

Figure

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  Fig. 1 Fan-shaped placement of 5 ports with the laparoscope inserted through the 10mm umbilical port (A), 12mm trocars placed on the patient left side at the lateral margin of the rectus muscle (B) and the 5mm trocars placed at the other sites (C, D and E).

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  Fig. 2 Through a small cystostomy for inspection, the laparoscope shows the bladder tumor (arrow), which is located at the bladder dome.

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  Fig. 3 The tumor was resected with a safety margin measuring at least 1.5-2cm of apparently normal bladder tissue.

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  Fig. 4 Intracorporeal bladder closure was performed with one-layer continuous suture with absorbable 2-0 monocryl.

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