Current status of laparoscopic and robotassisted nerve-sparing radical cystectomy in male patients

doi:10.1016/j.ajur.2016.04.004

Asian Journal of Urology, 2016, 3 (3): 150-155 doi: 10.1016/j.ajur.2016.04.004

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Current status of laparoscopic and robotassisted nerve-sparing radical cystectomy in male patients

Jian Huang, Xinxiang Fan, Wen Dong

Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

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Abstract During radical cystectomy (RC), the neurovascular bundles are easily removed or damaged, leading to varying rates of incontinence and erectile dysfunction. The nervesparing technique was developed to preserve urinary and erectile function. The adoption of laparoscopic and robot-assisted technology has improved visualization and dexterity of pelvic surgeries, thus facilitate the nerve-sparing technique. Although nerve-sparing RC is technically similar with nerve-sparing radical prostatectomy, there are still some anatomical differences. There are mainly three different types of nerve-sparing techniques. Pelvic lymph node dissection (PLND) is another important factor to influence erectile function and urinary continence. Nerve-sparing laparoscopic radical cystectomy (LRC) and robot-assisted radical cystectomy (RARC) may be an optimal treatment choice in well-selected younger patients with lowvolume, organ-confined disease. We should attempt to do, whenever possible, a nerve-sparing cystectomy at least on oneside. However, due to the need of a well-refined surgical technique, nerve-sparing LRC and RARC is now being performed only by experienced urological surgeons.

Key words： Nerve-sparing Radical cystectomy Laparoscopy Robot-assisted laparoscopy Male

Received: 05 April 2016 Published: 05 July 2016

Fund:This review is supported by Yat-sen Clinical Trail Project (No. 200501).

Corresponding Authors: Jian Huang E-mail: urolhj@sina.com

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Jian Huang,Xinxiang Fan,Wen Dong. Current status of laparoscopic and robotassisted nerve-sparing radical cystectomy in male patients[J]. Asian Journal of Urology, 2016, 3(3): 150-155.

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http://www.ajurology.com/EN/10.1016/j.ajur.2016.04.004 OR http://www.ajurology.com/EN/Y2016/V3/I3/150

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