Benefits of Laparoscopic Approach

The feasibility of the laparoscopic radical cystectomy has been previously described (35-37) and shown to incorporate the advantages offered by minimally invasive surgery with earlier postoperative recovery, less need for pain relief and diminished blood loss. This is confirmed as well in our experience, as well as the fact that while performing the lower urinary tract reconstruction completely intracorporeally can be done,

FIGURE 6 ■ Five-year global survival according to the pathologic stage for patients undergoing open (107) and laparoscopic (25) prostate-sparing cystectomy.

FIGURE 6 ■ Five-year global survival according to the pathologic stage for patients undergoing open (107) and laparoscopic (25) prostate-sparing cystectomy.

TABLE 5 ■ Five Year Global Survival According to Pathologic Stage for Patients

Undergoing Open (107 patients) and Laparoscopic (25 patients) Prostate-Sparing Cystectomy

TABLE 5 ■ Five Year Global Survival According to Pathologic Stage for Patients

Undergoing Open (107 patients) and Laparoscopic (25 patients) Prostate-Sparing Cystectomy

Pathological stage

Tumor nodes metastases 2002 stage distribution (%)

5-yr global survival (%)

pT0

2

100

pTa, 1

18

96

pT2

44

85

pT3

23

74

N+

13

54

this does not offer significant advantages for the patient and does increase the surgical difficulty and time.

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