Radical cystectomy was a surgical treatment which includes a procedure in which the bladder, nearby lymph nodes, a part of the urethra was been removed. Bladder cancer will tends to spread to other parts or areas of the body, and thereby the bladder & the surrounding organs were generally removed. The treatment was performed by a cut (incision in the lower belly). Sometimes it will be also performed as laparoscopic surgery. Some people call this surgery as “Band-Aid surgery,” because it requires only small cuts or incisions. To do this type of operation, lighted tube or scope & other surgical tools were used by the small cuts in your lower belly to visualize your organs with the help of scope.
PROCEDURE:
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Laparoscopic radical cystectomy was also generally done under general anesthesia.
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The abdomen was insufflated with carbon dioxide & a number of small cuts or incisions were made to provide access for the surgical instruments & laparoscope. The ureters was then isolated, ligated & divided. The vascular pedicles to the bladder was ligated, transected & stapled. In men seminal vesicles, the bladder and prostate were dissected & removed.
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It was retrieved intact without morcellation by an abdominal incision or cut.
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A similar procedure was used in the women, but the specimen was extracted transvaginally. According to the tumor burden & stage, the uterus & part of the vagina are to be taken along with the bladder. Rarely the ovaries were also removed.
