Recently, our department again performed laparoscopic radical total cystectomy + urinary diversion for a 79-year-old male bladder cancer patient successfully. This procedure has been performed in our department for dozens of cases, and the technique has become increasingly mature, and the patient has recovered and discharged from the hospital recently.
Patient Yang, male, 79 years old, came for examination due to blood in urine and was diagnosed with multiple tumors in the bladder. Through careful preoperative study, it was decided to perform radical bladder cancer surgery by laparoscopy. The operation started with the establishment of artificial pneumoperitoneum under general anesthesia, and the patient’s bladder and prostate and seminal vesicles were finally removed completely after patient and meticulous cutting and hemostasis. A ureteral ventral wall ostomy was also performed. The intraoperative bleeding was about 110 ml, which was significantly less than that of open surgery. Radical cystectomy is one of the most invasive and time-consuming surgeries in urology. In male patients, the prostate, seminal vesicles and part of the vas deferens are usually removed together with radical cystectomy; in female patients, the uterus, cervix and part of the vagina are removed, and the ovaries can be selectively preserved. In female patients, the uterus, cervix and part of the vagina are removed. Traditional surgery involves large incisions, heavy intraoperative tissue damage, more bleeding, and slow recovery. Laparoscopic radical total cystectomy, on the other hand, separates and cuts tissues finely, with little tissue damage and less intraoperative bleeding.