Technique and results in total laparoscopic radical cystectomy with sigmoidorectal pouch (Mainz pouch II) - an initial experience

Bao,Junsheng; Yue,Zhongjin; Wu,Gongjin; Shi,Wei; Wang,Wei

doi:10.3892/etm.2017.4163

May-2017 Volume 13 Issue 5

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May-2017 Volume 13 Issue 5

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Article Open Access

Technique and results in total laparoscopic radical cystectomy with sigmoidorectal pouch (Mainz pouch II) - an initial experience

Authors:
- Junsheng Bao
- Zhongjin Yue
- Gongjin Wu
- Wei Shi
- Wei Wang
View Affiliations / Copyright

Affiliations: Department of Urology, Lanzhou University Second Hospital, Lanzhou, Gansu 730030, P.R. China

Copyright: © Bao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 1749-1752
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Published online on: February 24, 2017

https://doi.org/10.3892/etm.2017.4163
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Abstract

We used laparoscopic radical cystectomy (LRC) with urinary diversion for muscle-invasive bladder cancer. A series of total LRC is presented with Mainz pouch II after we had gained experience of nearly 200 open radical cystectomy and 23 LRC. Since from October 2010 to April 2012, we performed totally LRC in 5 patients with muscle-invasive bladder cancer with Mainz pouch II as a urinary diversion. We analyzed age, pathological staging, continence, operative time, blood loss, blood transfusion volume, and complications. The mean age of the patients was 58.8±7.6 years (range, 49-69 years), and the follow‑up time was 15.4±4.72 months. The mean operative time was 577.0±126.4 min for total LRC, with a mean blood loss of 280.0±130.38 ml and a mean hospital stay of 29.4±9.2 days. Blood transfusion was required in two cases, and immediate and late complications were observed in 2 cases. In conclusion, total LRC with urinary diversion is feasible for the management of muscle-invasive bladder cancer, by experienced surgeons, and despite the high level of difficulty of these procedures.

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1	Siegel R, Naishadham D and Jemal A: Cancer statistics, 2013. CA Cancer J Clin. 63:11–30. 2013. View Article : Google Scholar : PubMed/NCBI
2	Parkin DM: The global burden of urinary bladder cancer. Scand J Urol Nephrol. (Suppl). 12–20. 2008. View Article : Google Scholar : PubMed/NCBI
3	Meller AE, Nesrallah LJ, DallOglio MF and Srougi M: Complications in radical cystectomy performed at a teaching hospital. Int Braz J Urol. 28:522–525. 2002.PubMed/NCBI
4	Rübben H, Lutzeyer W, Fischer N, Deutz F, Lagrange W and Giani G: Natural history and treatment of low and high risk superficial bladder tumors. J Urol. 139:283–285. 1988.PubMed/NCBI
5	Stenzl A, Cowan NC, De Santis M, Kuczyk MA, Merseburger AS, Ribal MJ, Sherif A and Witjes JA: European Association of Urology: Treatment of muscle-invasive and metastatic bladder cancer: update of the EAU guidelines. Actas Urol Esp. 36:449–460. 2012.(In Spanish). View Article : Google Scholar : PubMed/NCBI
6	Fisch M, Wammack R, Müller SC and Hohenfellner R: The Mainz pouch II (sigma rectum pouch). J Urol. 149:258–263. 1993.PubMed/NCBI
7	Atta MA: Detubularized isolated ureterosigmoidostomy: description of a new technique and preliminary results. J Urol. 156:915–919. 1996. View Article : Google Scholar : PubMed/NCBI
8	Gilja I, Kovacić M, Radej M, Kosuta D, Bakula B and Goles L: The sigmoidorectal pouch (Mainz pouch II). Eur Urol. 29:210–215. 1996.PubMed/NCBI
9	Smith JA Jr: Surgical treatment of bladder carcinoma: why is it underutilized? Cancer. 104:1563–1566. 2005. View Article : Google Scholar : PubMed/NCBI
10	Gill IS, Fergany A, Klein EA, Kaouk JH, Sung GT, Meraney AM, Savage SJ, Ulchaker JC and Novick AC: Laparoscopic radical cystoprostatectomy with ileal conduit performed completely intracorporeally: the initial 2 cases. Urology. 56:26–29; discussion 29–30. 2000. View Article : Google Scholar : PubMed/NCBI
11	Gao ZL, Fan J, Zhao JJ, Xia SJ, Shi L, Men CP, Wang H, Wang L, Yang DD, Sun DK, et al: Laparoscopic radical cystectomy with extracorporeal ileal conduit urinary diversion for treatment of Chinese bladder cancer patients. Urol Int. 79:204–209. 2007. View Article : Google Scholar : PubMed/NCBI
12	Park B, Jeong BC, Jeon SS, Lee HM, Choi HY and Seo SI: Pure laparoscopic radical cystectomy with ileal conduit: a single surgeons mid-term outcomes. Yonsei Med J. 54:912–920. 2013. View Article : Google Scholar : PubMed/NCBI
13	Hemal AK and Kolla SB: Comparison of laparoscopic and open radical cystoprostatectomy for localized bladder cancer with 3-year oncological follow-up: a single surgeon experience. J Urol. 178:2340–2343. 2007. View Article : Google Scholar : PubMed/NCBI
14	Ha US, Kim SI, Kim SJ, Cho HJ, Hong SH, Lee JY, Kim JC, Kim SW and Hwang TK: Laparoscopic versus open radical cystectomy for the management of bladder cancer: mid-term oncological outcome. Int J Urol. 17:55–61. 2010. View Article : Google Scholar : PubMed/NCBI