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Laparoscopic Cystectomy and Urinary Diversion

  • David Canes
  • Ingolf A. Tuerk
Part of the Current Clinical Urology book series (CCU)

Abstract

Over the past 15 years, initial skepticism for laparoscopic radical cystectomy (LRC) has given way to enthusiasm. At specialized centers LRC is already offered as a feasible alternative (1) to open cystectomy, the reference standard (2). Progress in the field of LRC has been measured, slowly and deliberately. Among genitourinary cancers, transitional cell carcinoma is unforgiving of surgical missteps. Positive margins and urine spillage for organ-confined disease are unacceptable – negatively impacting disease-specific survival (3). Slow progress is therefore appropriate, indicating that irrational exuberance for technological advances have been tempered by dedicated pioneers who are intent on duplicating open oncological principles in this arena.

Keywords

Radical Cystectomy Urinary Diversion Ileal Conduit Ileal Segment Laparoscopic Radical Cystectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC, a part of Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • David Canes
    • 1
  • Ingolf A. Tuerk
    • 2
  1. 1.Department of Urology, Center for Laparoscopic and Robotic SurgeryGlickman Urological and Kidney Institute, Cleveland ClinicCleveland
  2. 2.Department of UrologyLahey Clinic Medical CenterBurlington

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