Application of en-bloc pelvic lymphadenectomy in laparoscopic radical cystectomy (report of 40 cases)
Tian Yu
Li Jiongming
Yan Yongj i
Liu Jianhe
Chen Jian
Guo Haixiang
Wang Guang
Abstract：Objective:To investigate the surgical method and clinical value of en-bloc pelvic lymph node dissec-tion in laparoscopic radical cystectomy.Methods:Clinical and pathological data of 40 patients with bladder cancer un-dergoing laparoscopic radical cystectomy and modified en-bloc pelvic lymph nodes dissection from February 2013 to February 201 5 were analyzed retrospectively.All of the 40 patients were males.The mean age was 60.5 (31-80) years.Two patients were diagnosed as having T1 tumor,1 9 having T2 ,13 having T3 and 6 having T4 .Results:All the 40 patients underwent laparoscopic surgery successfully without any conversion to open procedure.The mean operative time was 185 (140-240)min.The mean blood loss was 183 (30-600)mL with no blood transfusion during surgery.Average 13.5 lymph nodes,ranging from 8 to 22,were removed during the operation with lymph node positive rate of 20.0%.One patient got postoperative lymphatic fistula and recovered in 2 weeks.There were no other serious perioperative complications. Conclusions:Laparoscopic radical cystectomy with modified en-bloc lymph node resection can reduce the risk of vas-cular injury and bleeding during the operation,and ensure the thoroughness of pelvic lymph node dissection.
Keywords：bladder cancerlaparoscopicen-bloc lymphadenectomy
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 159-162 )