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Nerve-sparing laparoscopic cystectomy

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Abstract

Laparoscopic radical cystectomy has been included among the viable options for the surgical treatment of muscleinvasive bladder cancer. Even with the minimally invasive approach, it must be considered a major surgical intervention and, even in experienced hands, it can be associated with a significant percentage of complications with a negative impact on overall quality of life, especially in terms of continence and sexual potency. According to our Medline search, only two papers are available from the literature on laparoscopic and robotic versions of nerve- and seminalsparing cystectomy and nerve-sparing cystectomy, performed respectively on three and 17 patients, showing the feasibility and preliminary results of those surgical procedures. Therefore, data seem encouraging, but further prospective studies are mandatory to correctly assess oncologic and functional results in terms of potency and continence maintenance related to these innovative techniques.

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Authors and Affiliations

  1. Università Vita e Salute-San Raffaele Turro, Via Stamira d’Ancona 20, 20127, Milano, Italy

    Andrea Cestari MD

Authors
  1. Andrea Cestari MD
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  2. Richard Naspro MD
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  3. Matteo Riva MD
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  4. Piera Bellinzoni MD
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  5. Luciano Nava MD
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  6. Patrizio Rigatti MD
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  7. Giorgio Guazzoni MD
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Cestari, A., Naspro, R., Riva, M. et al. Nerve-sparing laparoscopic cystectomy. Curr Urol Rep 6, 101–105 (2005). https://doi.org/10.1007/s11934-005-0075-5

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  • DOI: https://doi.org/10.1007/s11934-005-0075-5

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