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- W1979052881 abstract "Abstract Radical cystectomy remains one of the most invasive surgical procedures in urology, which can be associated with a high rate of complications, even in expert hands. These risks, together with the rapid advances in minimally invasive surgery stimulated the development of laparoscopic radical cystectomy. This is, however an evolving, relatively new procedure and to date, experience is limited to centers with established laparoscopic skills and established programmes. The main merit of the laparoscopic technique lies in the potential to reduce morbidity of the procedure. Although experience with laparoscopic radical cystectomy is limited in all reported series, especially when compared to open radical cystectomy, statistically significant advantages are emerging such as reduced blood loss, return to full diet, analgesic requirement and hospital stay. Long term oncologic data are awaited. So far, only short term results based on margin status and lymph node involvement are available with limited follow-up. These results do not seem to differ significantly from open surgery and there is no evidence that laparoscopic access compromises oncologic safety. Before this innovative technique will be considered as routine or standard, many technical innovations will be necessary to achieve acceptable operative times. Most importantly, long-term oncologic efficacy remains to be proven in large series of patients to establish laparoscopic radical cystectomy as a viable alternative to open radical cystectomy." @default.
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- W1979052881 date "2005-09-01" @default.
- W1979052881 modified "2023-10-12" @default.
- W1979052881 title "Laparoscopic Cystectomy – Evolution of A New Technique" @default.
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- W1979052881 doi "https://doi.org/10.1016/j.euus.2005.07.005" @default.
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