Lba1 Characteristics of Participants in the Aua Quality (aqua) Registry and Early Impact of Participation on Quality of Care
Year: 2018
Type: article
Study design: Observational Study
Abstract: a 45mm long automatic stapler.The remaining neobladder configuration is made with absorbable 3-0 running suture.A 14F drain is left in the abdominal cavity after surgery.RESULTS: 24 males underwent laparoscopic radical cystectomy during this 44 months study period.All patients were submitted to (LRC) with orthotopic Padua urinary diversion.The mean operative time was 384 Æ 27 minutes, the mean blood loss was 219.69Æ 95.59 milliliters, the mean length of hospital stay was 7.62 Æ 2 days and the mean morphine requirement was 2.54 Æ 0.7 days.The overall complication rate was 54.2% (13/24).However, the majority of the patients had minor complications with minimally-invasive re-interventions needed.CONCLUSIONS: Laparoscopic radical cystectomy is a safe and effective choice to treat patients affected by bladder cancer that can provide an alternative to open radical cystectomy.A real learning curve is not needed if the surgical team works in a high volume hospital and has a previous large experience with urologic general laparoscopy and laparoscopic radical prostatectomy.On the other hand, laparoscopic urinary reconstructions must be considered challenging procedures were the surgical team needs a consolidate experience to select the correct diversion and a large experience in using minimal invasive tools, devices and sutures to optimize the surgical steps of the procedure.
Source: The Journal of Urology
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2796224305