방광선암에 대한 복강경 부분방광절제술
Laparoscopic Partial Cystectomy for Adenocarcinoma of the Bladder
김병환, 김재호, 박우진, 류동수, 권준오, 오태희,
소속 상세정보
김병환 ( Kim Byung-Hwan )
성균관대학교 의과대학 마산삼성병원 비뇨기과학교실
김재호 ( Kim Jae-Ho )
성균관대학교 의과대학 마산삼성병원 비뇨기과학교실
박우진 ( Park Woo-Jin )
성균관대학교 의과대학 마산삼성병원 비뇨기과학교실
류동수 ( Ryu Dong-Soo )
성균관대학교 의과대학 마산삼성병원 비뇨기과학교실
권준오 ( Kwon Jun-O )
성균관대학교 의과대학 마산삼성병원 비뇨기과학교실
오태희 ( Oh Tae-Hee )
성균관대학교 의과대학 마산삼성병원 비뇨기과학교실
KMID : 0358320070480090990
Abstract
From February 2004 to August 2005, 3 patients with muscle invasive bladder adenocarcinoma were identified as candidates for partial cystectomy, and they underwent laparoscopic partial cystectomy. Case 1 and case 2 were primary bladder adenocarcinoma with a pathologic stage of T3aN0M0 and T2bN0M0, respectively, and case 3 was metastatic bladder adenocarcinoma from gastric cancer. The mean surgical time was 213 minutes(range: 140-300). The blood loss was 117cc(range: 60-220), respectively. There were no significant complications after surgery. During a mean follow-up period of 22 months, case 1 and case 2 with primary adenocarcinoma did not have local or systemic recurrence, but case 3 with metastatic adenocarcinoma had intra-abdominal recurrence without local recurrence. Laparoscopic partial cystectomy is a safe, feasible, minimally invasive alternative to open partial cystectomy for treating selected cases of patients with muscle invasive bladder adenocarcinoma. (Korean J Urol 2007;48:990-993)
키워드
Laparoscopy;Cystectomy;Urinary bladder neoplasms;Adenocarcinoma
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