دورية أكاديمية
Laparoscopic extraperitoneal radical cystoprostatectomy: for whom and how? ; Лапароскопическая экстраперитонеальная радикальная цистпростатэктомия: кому и как?
| العنوان: | Laparoscopic extraperitoneal radical cystoprostatectomy: for whom and how? ; Лапароскопическая экстраперитонеальная радикальная цистпростатэктомия: кому и как? |
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| المؤلفون: | D. V. Perlin, I. V. Aleksandrov, A. O. Shmanev, Sh. Shamhalov, P. A. Kulikov, Д. В. Перлин, И. В. Александров, А. О. Шманев, Ш. Шамхалов, П. А. Куликов |
| المصدر: | Cancer Urology; Том 19, № 3 (2023); 69-78 ; Онкоурология; Том 19, № 3 (2023); 69-78 ; 1996-1812 ; 1726-9776 |
| بيانات النشر: | "PH "ABV-Press"", LLC |
| سنة النشر: | 2023 |
| المجموعة: | Oncourology (E-Journal) / Онкоурология |
| مصطلحات موضوعية: | спасительная цистэктомия, extraperitoneal access, muscle-invasive bladder cancer, salvage cystectomy, экстраперитонеальный доступ, инвазивный рак мочевого пузыря |
| الوصف: | Background. Laparoscopic radical cystectomy is an established reliable minimally invasive method for the treatment of muscle-invasive bladder cancer. However, in the elderly and patients with serious comorbidities, laparoscopic radical cystectomy is still associated with high risk of complications. There are only a few reports on the use of extraperitoneal access for laparoscopic radical cystectomy in the literature. At the same time, extensive experience has been accumulated in laparoscopic extraperitoneal radical prostatectomy and retroperitoneoscopic operations on the kidney showing significant advantages of extraperitoneal access. Aim. To present initial results of laparoscopic radical cystectomy through extraperitoneal access in medically ill patients.Materials and methods. Between 2017 and 2021, extraperitoneal laparoscopic radical cystectomy was performed at the Volgograd Regional Uronephrology Center in four male patients with tumors affecting the bladder, stages T2–T4. All patients had serious comorbidities. In 3 patients, grade G2–G3 muscle-invasive bladder cancer was histologically verified prior to cystectomy. Two of them had invasion in the posterior urethra. One patient was diagnosed with prostate adenocarcinoma (Gleason score 8 (5 + 3)) with invasion into the bladder wall, ureterohydronephrosis and stage IV chronic kidney disease. None of the patients received neoadjuvant therapy: in 2 cases surgeries were emergency due to recurrent hemorrhages, and 3 patients had significantly decreased kidney function.Results. All operations were performed completely laparoscopically through extraperitoneal access. In 1 case, urine diversion was performed transperitoneally into a colon conduit. Simultaneous retroperitoneoscopic ureterocutaneostomy was performed in two patients: on one side (in a patient with a single functioning kidney) and on both sides, respectively. In a patient with stage V chronic kidney disease and permanent dialysis, bilateral simultaneous retroperitoneal nephrectomies were performed.In 2 ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | Russian |
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| DOI: | 10.17650/1726-9776-2023-19-3-69-78 |
| الإتاحة: | https://doi.org/10.17650/1726-9776-2023-19-3-69-78Test https://doi.org/10.1590/S1677-5538.IBJU.2013.05.03Test https://doi.org/10.1371/journal.pone.0098950Test https://doi.org/10.5173/ceju.2015.01.498Test https://doi.org/10.2147/CIA.S73381Test https://doi.org/10.1590/S1677-5538.IBJU.2015.0608Test https://doi.org/10.1046/j.1442-2042.2003.00560.xTest https://doi.org/10.1016/j.eururo.2010.10.030Test https://doi.org/10.1016/s0022-5347Test(01)61946-3 https://doi.org/10.1007/s00345-013-1052-0Test |
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| رقم الانضمام: | edsbas.69A67DDB |
| قاعدة البيانات: | BASE |
| DOI: | 10.17650/1726-9776-2023-19-3-69-78 |
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