Case report

Laparoscopically-assisted cysto-prostatectomy

H. L. Tan, J. M. Hutson

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 4-year-old child presented with recurrence of an embryonal rhab-domyosarcoma following previous limited excision, chemotherapy and pelvic irradiation. A decision was made to excise the bladder and prostate and a preliminary staging laparoscopy was performed to exclude extra-vesical meta-stases. It was evident that excellent access to retropubic structures could be obtained endoscopically, so informed consent was obtained for a laparoscopic cysto-prostatectomy. The bladder, bladder neck and urethra were entirely mobilized laparoscopically. Total laparoscopic time was 90min and blood loss 150 ml. The need to create a permanent urinary diversion allowed us to make a 5cm Pfannensteil incision to deliver the bladder and fashion an ileal conduit through this small incision. The patient made an uneventful recovery and was discharged after 6 days. Combining laparoscopy with conventional open surgery allowed us to gain access to a difficult anatomical site. Given the right indications, laparoscopic assistance can reduce considerably the iatrogenic trauma of open surgery and can facilitate the surgical exposure to structures normally inaccessible by a conventional extensile surgical approach.

Original languageEnglish
Pages (from-to)207-210
Number of pages4
JournalMinimally Invasive Therapy and Allied Technologies
Volume3
Issue number4
DOIs
Publication statusPublished - 1994
Externally publishedYes

Fingerprint

Prostatectomy
Urinary Bladder
Urinary Diversion
Laparoscopy
Urethra
Informed Consent
Prostate
Recurrence
Drug Therapy
Wounds and Injuries

Keywords

  • Cysto-prostatectomy
  • Laparoscopy
  • Prostate
  • Rhabdomyosarcoma

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging

Cite this

Case report : Laparoscopically-assisted cysto-prostatectomy. / Tan, H. L.; Hutson, J. M.

In: Minimally Invasive Therapy and Allied Technologies, Vol. 3, No. 4, 1994, p. 207-210.

Research output: Contribution to journalArticle

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