Department of Urology, Kangnam St. Mary’s Department of Urology, Kangnam St. Mary’s Hospital Hospital The Catholic University of Korea, College The Catholic University of Korea, College of Medicine of Medicine Yoo Shin Ha Yoo Shin Ha paroscopic Radical Cystectom Catholic University Experie
26
Embed
Department of Urology, Kangnam St. Mary’s Hospital The Catholic University of Korea, College of Medicine Yoo Shin Ha Laparoscopic Radical Cystectomy in.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Department of Urology, Kangnam St. Mary’s Hospital Department of Urology, Kangnam St. Mary’s Hospital
The Catholic University of Korea, College of MedicineThe Catholic University of Korea, College of Medicine
Yoo Shin HaYoo Shin Ha
Laparoscopic Radical Cystectomy in Catholic University Experience
Radical cystectomy : the gold standard for M. invasive or high risk bladder cancer
.
.
Laparoscopic surgery :
expanding
now applied to treat neoplasm of the pelvic organ
Excellent perioperative & long-term results in RCC, Prostate ca.
IntroductionIntroduction
Encourage to explore the role of laparoscopy in bladder ca.
The main problems to solve 1.Technical difficulty
2.Urinary diversion method
intracorporeally ? or extracorporeally ?
3.Oncologic risk , replicating the outcome of open surgery ? .
.
To define the role of laparoscopic radical cystectomy ?To define the role of laparoscopic radical cystectomy ?To define the role of laparoscopic radical cystectomy ?To define the role of laparoscopic radical cystectomy ?
To overcoming these problems, We would like to share our experience with LRC in 36 cases, since june 2003,
Pathogenesis
The steps of operationsThe steps of operations Port placement Port placement
5-port fan-shaped
transperitoneal approach
Marking incision site for specimen removal
Camera port
Important landmarks•Medial umbilical lig.
•Vas
•Rectovesical pouch
•Iliac vessels.
.
• Incision of Peritoneum
• dissection down to the
UVJ
• isolation of ureter
as distally as possible
• Frozen biopsy
Mobilization & division of the uretersMobilization & division of the uretersMobilization & division of the uretersMobilization & division of the ureters
Endopelvic fascia incision & DVD controlEndopelvic fascia incision & DVD controlEndopelvic fascia incision & DVD controlEndopelvic fascia incision & DVD control