The technique of laparoscopic partial cystectomy
Article published in Urologia Polska 2008/61/Supl. 1.

authors

Piotr Chłosta, Artur A. Antoniewicz, Paweł Orłowski, Jarosław Jaskulski, Mateusz Obarzanowski, Paweł Olejniczak, Jakub Dobruch, Andrzej Borówka

Oddział Urologii, Świętokrzyskie Centrum Onkologii w Kielcach
Klinika Urologii CMKP I Zespół Dydaktyki Urologicznej – Oddział Urologii Międzyleskiego Szpitala Specjalistycznego w Warszawie

summary

Introduction.

The development of laparoscopy in urology makes possible to perform partial cystectomy from transperitoneal approach.

Objectives.

Aim of the video is to present the operative technique of partial laparoscopic cystectomy in the management of persistent urachal cyst or endometriosis.

Materials and methods.

The video was realized after team gained experience based on LAP-PC performed from January 2006 to January 2008 in 4 cases. We insert one 5 mm trocar and 3 trocars of 10 mm. The procedure was performed simultaneously under laparoscopic and cystoscopic control. The lesion was removed within macroscopically normal tissue margin. In every case bladder was sutured completely laparoscopically, using knot and running sutures. During the procedure bipolar scissors and cautery were used. After the surgery, one suction drain 14F was left in abdominal cavity.

Results.

In all cases the procedure was performed laparoscopically. There was no complication during and after LAP-PC. Mean operative time was 55 min (45-85 min). Surgical outcome based on hospitalization time and catheterization time was 4 (3-5) and 7 (6-10) days respectively. Histopathological examinations of postoperative specimens indicate persistent urachal cyst in one case, and endometriosis in three cases.

Conclusions.

LAP-PC is an effective, technically easy and considerably less invasive procedure from open partial cystectomy. LAP-PC makes possible to perform efficient and safe partial excision of the bladder in cases of benign lesions. Using bipolar instruments facilitates the operation.