Cost comparison between open radical cystectomy, laparoscopic radical cystectomy, and robot-assisted radical cystectomy for patients with bladder cancer: a systematic review of segmental costs

Robot-assisted radical cystectomy is becoming a common treatment for bladder carcinoma. However, in comparison with open radical cystectomy, its cost-effectiveness has not been confirmed. Although few publishe...
Source: BMC Urology - Category: Urology & Nephrology Authors: Tags: Research article Source Type: research

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In this report, we present familial cases of urothelial carcinoma. To investigate the possibility of hereditary urothelial cancer, we performed semiconductor-based next-generation DNA sequencing. A woman in her 80s who had bladder and left ureteral cancer was hospitalized in Sapporo Shirakaba-dai Hospital due to consciousness disturbance. Radiographic evaluation revealed multiple liver metastases and she died 38  days later. Needle necropsy was done for a left ureteral tumor that continued to her bladder tumor and for liver metastases. At the same time, her son in his 60s, who also had muscle-invasive bladder cancer, ...
Source: International Cancer Conference Journal - Category: Cancer & Oncology Source Type: research
Rationale: Colorectal cancer is one of the most commonly diagnosed cancers worldwide, and the majority arise from neoplastic adenomatous polyps. Bladder involvement in colorectal cancer is uncommon and found in approximately 3% of the cases, most commonly in sigmoid and rectal tumors and the diagnosis is classically based on biopsies of affected tissues. Patient concerns: A 68-year-old male with no significant past medical history underwent diagnostic colonoscopy for abdominal distension and constipation with positive fecal occult blood test ordered by the primary care physician. Diagnosis: Colonoscopy showed a sig...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
ConclusionThe use of green-laser marking technique during laparoscopic partial cystectomy is a feasible manoeuvre in assisting the accurate incision and minimizing injury to the remaining bladder.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
Publication date: September 2018Source: European Urology, Volume 74, Issue 3Author(s): Judith Bosschieter, André N. Vis, Henk G. van der Poel, Luc M. Moonen, Simon Horenblas, Bas W.G. van Rhijn, Bradley R. Pieters, Jakko A. Nieuwenhuijzen, Kees HendricksenAbstractBackgroundRobot-assisted laparoscopic (RAL) implantation of brachytherapy catheters (BTCs) can be a minimally invasive alternative to open retropubic implantation. Descriptions of the surgical technique and outcomes are sparse.ObjectiveTo describe our technique and perioperative outcomes for RAL BTC implantation in urothelial carcinoma (UC) and urachal carc...
Source: European Urology - Category: Urology & Nephrology Source Type: research
Conclusion: ILND is burned by a high complication rate. VEIL provides a less invasive approach and a saphenous-sparing technique ensures a lower complication rate, reducing lymphorrhea, skin necrosis and wound complications (1 – 3). In experienced laparoscopic hands, VEIL is a safe and effective treatment.
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
Authors: Huang Z, Zhang X, Zhang X, Li Q, Liu S, Yu L, Xu T Abstract PURPOSE: To determine if segmental ureterectomy (SU) could be chosen for wider oncological indications than low-risk ureteral carcinoma, given the difficulties in accurate preoperative risk stratification determination and kidney-sparing needs for successive therapy. METHODS: Data from ureteral carcinoma patients who underwent open SU or laparoscopic radical nephroureterectomy (RNU) between 2011 and 2016 were retrospectively reviewed. Kaplan-Meier survival analysis and Cox regression model with patients' baseline characteristics (age, bladder ...
Source: Journal of Investigative Surgery - Category: Surgery Tags: J Invest Surg Source Type: research
The standard of care for localized urothelial carcinoma invading bladder muscle is Radical cystectomy with extended pelvic lymph node dissection (ePLND). Minimal invasive surgery benefits have been applied in bladder cancer patients with the advent of robot with completion of urinary diversions intra-corporeally. Scepticism remains regarding whether an adequate node dissection can be performed as previously reported nodal yields of laparoscopic or robotic lymphadenectomy are well below those reported with open surgery.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Bladder Oncology & Diversion Source Type: research
Conclusion LRC is an equivalent treatment to ORC in terms of oncological efficacy and is advantageous in terms of transfusion rates and hospital stays but not in terms of operating room time and overall safety. Studies are needed to better define the specific safety profile for each approach.
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Source Type: research
Rationale: Pseudomyxoma peritonei is an unusual clinical condition, and the appendix and ovaries are reported as the primary sites. Patient concerns: A 44-year-old man who was reported a 3-month history of lower abdominal pain and distention, along with increased abdominal girth, was admitted with a palpable tender mass in the central lower abdomen. Diagnosis: Ultrasonography showed a large well-circumscribed cystic-solid mass with lobulated margin, extending from the anterosuperior dome of the urinary bladder to the anterior abdominal wall. A computed tomography (CT) scan revealed a midline heterogeneous, hypodense, irr...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Currently, the standard treatment for renal pelvis carcinoma is radical nephroureterectomy with bladder cuff excision. To describe the feasibility of retroperitoneal laparoscopic partial nephrectomy with segme...
Source: BMC Urology - Category: Urology & Nephrology Authors: Tags: Case report Source Type: research
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