Laparoscopic radical cystectomy following radioactive seed implantation for prostate cancer: a case report and literature review
PANG Shaoqiang1, SHI Jing1, WANG Ling1, LIU Heyang1, GONG Huijie1, GAO Wenfeng1, LI Yanfeng1, WU Yabing1, MA Xuetao1, DAI Linfeng1, DUAN Junyao1, YAN Yongji1
1 Department of Urology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
Abstract：Objective: To explore the safety and clinical efficacy of laparoscopic radical cystectomy following radioactive seed implantation for prostate cancer. Methods： A retrospective analysis was performed on the clinical data of a patient with muscle-invasive bladder cancer after radioactive seed implantation for prostate cancer. The patient underwent laparoscopic radical cystectomy and ileal conduit in Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine on June 2015. By reviewing relevant literature, the effects of radioactive seed implantation on the occurrence and progression of bladder cancer, the operation of radical cystectomy as well as the choice of urinary diversion were analyzed. Results： Serious adhesion around the prostate was found during the operation. The radical cystectomy was performed by combining retrograde and anterograde approaches via laparoscopy, and the ileal conduit was used as the choice of urinary diversion. There were no early complications such as rectal injury, urine leakage and intestinal obstruction. No tumor recurrence and ureteral ileal anastomotic stenosis were observed during the follow-up periods of 5.5 years. Conclusion： Laparoscopic radical cystectomy with ileal conduit can be chosen as one of the safe and effective surgical methods for patients with muscle-invasive bladder cancer following radioactive seed implantation for prostate cancer.
庞少强, 时京, 王玲, 刘河漾, 巩会杰, 高文锋, 李琰峰, 吴雅冰, 马雪涛, 戴林枫, 段珺耀, 闫永吉. 前列腺癌放射性粒子植入术后腹腔镜膀胱根治性切除1例并文献复习[J]. 微创泌尿外科杂志, 2021, 10(4): 257-261.
PANG Shaoqiang, SHI Jing, WANG Ling, LIU Heyang, GONG Huijie, GAO Wenfeng, LI Yanfeng, WU Yabing, MA Xuetao, DAI Linfeng, DUAN Junyao, YAN Yongji. Laparoscopic radical cystectomy following radioactive seed implantation for prostate cancer: a case report and literature review. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(4): 257-261.
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