Laparoscopic Partial Cystectomy for Adenocarcinoma of the Bladder

Byung Hwan Kim, Jae Ho Kim, Woo Jin Park, Dong Soo Ryu, Jun O Kwon, Tae Hee Oh From the Department of Urology, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea 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)