Advantages of laparoscopic radical cystectomy The unique advantages of laparoscopic radical cystectomy, which has gradually replaced open surgery, are mainly reflected in: 1. Continuous positive pressure carbon dioxide gas pumping reduces intravenous bleeding and makes the operative field clear and easy to operate; 2. The laparoscope is equipped with a magnification system that can magnify the conventional field of view 10-12 times, so the physician can perform more precise operations, such as penile Dorsal deep vein complex, penile neurovascular bundle and urethral sphincter are handled precisely; 3. The surgical incision is smaller, thus better protecting the body’s immune mechanism and reducing the occurrence of postoperative infections and other complications; 4. The intestinal exposure time is short, so the postoperative patient’s intestinal recovery is faster than that of open surgery, reducing the possibility of adverse complications such as intestinal obstruction.
Disadvantages of laparoscopic radical cystectomy Laparoscopic radical cystectomy also has its limitations. It has been suggested that due to the small incision during surgery, assessment of mesenteric tone is not as intuitive as in open surgery, and there may be some problems in anastomosing the urinary bladder to the urethral dissection, thus the possibility of complications during urethral reconstruction cannot be ruled out. Moreover, because of the long laparoscopic instruments and the completely different operating skills from those of open surgery, especially in case of unexpected situations such as hemorrhage, it will rely more on the surgeon’s experience and skill for skilled operation and timely management. Therefore, doctors often need special training and a long learning curve.