Cathelineau Xavier, Jaffe Jamison
Institut Montsouris, Paris, France.
Curr Opin Urol. 2007 Mar;17(2):93-7. doi: 10.1097/MOU.0b013e32802b70a9.
Laparoscopic prostatectomy has become a standardized procedure; consequently, many urologic surgeons have mastered it. Using the knowledge gained from this procedure, some laparoscopic urologic surgeons have also been successfully performing laparoscopic radical cystectomy. We review the current literature to determine the optimal technique for laparoscopic radical cystectomy.
Three techniques for the extirpative aspect of laparoscopic radical cystectomy have been described: robot-assisted, hand-assisted and pure laparoscopic surgery. Creation of the urinary bladder has been performed via both intracorporeal and extracorporeal techniques with more recent studies favoring the extracorporeal creation of the urinary diversion.
Laparoscopic radical cystectomy has become a standard procedure at many laparoscopic centers worldwide. The procedure is feasible with reproducible results. It appears to offer the patient all the advantages of other minimally invasive surgeries with respect to postoperative recovery.
腹腔镜前列腺切除术已成为一种标准化手术；因此，许多泌尿外科医生已掌握该手术。一些腹腔镜泌尿外科医生利用从该手术中获得的知识，也成功开展了腹腔镜根治性膀胱切除术。我们回顾当前文献以确定腹腔镜根治性膀胱切除术的最佳技术。
腹腔镜根治性膀胱切除术的切除部分有三种技术被描述：机器人辅助、手辅助和单纯腹腔镜手术。膀胱重建已通过体内和体外技术完成，最近的研究更倾向于体外尿流改道术。
腹腔镜根治性膀胱切除术已在全球许多腹腔镜中心成为标准手术。该手术可行且结果可重复。就术后恢复而言，它似乎为患者提供了其他微创手术的所有优势。
