Artículos de revistas
Complications in laparoscopic radial cystectomy. The South American experience with 59 cases
Fecha
2006Registro en:
International Braz J Urol, Volumen 32, Issue 3, 2018, Pages 300-305
16776119
16775538
10.1590/S1677-55382006000300007
Autor
Castillo, Octavio A.
Abreu, Sidney C.
Mariano, Mirandolino B.
Tefilli, Marcos V.
Hoyos, Jorge
Pinto, Ivan
Cerqueira, Joao B.
Gonzaga, Lucio F.
Fonseca, Gilvan N.
Institución
Resumen
Objective: In this study, we have gathered the second largest series yet published on laparoscopic radical cystectomy in order to evaluate the incidence and cause of intra and postoperative complication, conversion to open surgery, and patient mortality. Materials and Methods: From 1997 to 2005,59 laparoscopic radical cystectomies were performed for the management of bladder cancer at 3 institutions in South America. Twenty nine patients received continent urinary diversion, including 25 orthotopic ileal neobladders and 4 Indiana pouches. Only one case of continent urinary diversion was performed completely intracorporeally. Results: Mean operative time was 337 minutes (150-600). Estimated intraoperative blood loss was 488 ml, (50-1500) and 12 patients (20%) required blood transfusion. All 7 (12%) intraoperative complications were vascular in nature, that is, 1 epigastric vessel injury, 2 injuries to the iliac vessels (1 artery and 1 vein), and 4 bleedings that occurred during the blad