Laparoscopic radical cystoprostatectomy and in block urethrectomy in urethral cancer: initial experience in 2 cases

Surg Laparosc Endosc Percutan Tech. 2007 Feb;17(1):38-41. doi: 10.1097/01.sle.0000213754.69137.2b.

Abstract

We introduce laparoscopic radical cystoprostatectomy and in block urethrectomy as an option for the treatment of urethral cancer in men. Using a 5-port transperitoneal approach, a radical cystoprostatectomy is completed laparoscopically with bilateral iliac and pelvic lymphadenectomy. Urethrectomy and extraction of bladder and prostate is performed through a perineal incision. A segment of ileum is isolated and exteriorized to create an extracorporeal ileal conduit and restore ileo-ileal continuity by open standard technique. Bilateral stented uretero-ileal anastomosis is extracorporeally performed. Total operative time ranges from 4.5 to 4.8 hours. Laparoscopic radical cystoprostatectomy with perineal urethrectomy and an extracorporeally made ileal conduit is a feasible technique that can be reproduced. To our knowledge, this is the first report of laparoscopic radical surgery in the treatment of urethral cancer in men.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Laparoscopy / methods*
  • Lymph Node Excision
  • Male
  • Middle Aged
  • Prostatectomy / methods*
  • Urethra / surgery*
  • Urethral Neoplasms / surgery*
  • Urinary Diversion / methods*