Transperitoneal Laparoscopic Cystoprostatectomy for Muscle Invasive Bladder Cancer: Results and Oncologic Outcomes in a Single Center in Douala Cameroon ()
Affiliation(s)
1Medico Surgical Center of Urology and Mini Invasive Surgery, Douala, Cameroon.
2Faculty of Medicine and Pharmaceutical Sciences, Department of Surgery and Specialities, University of Douala, Douala, Cameroon.
3Regional Hospital Limbe, Limbe, Cameroon.
4General Hospital Yaounde, Yaounde, Cameroon.
5Faculty of Medicine and Biomedical Sciences, University of Yaounde, Yaounde, Cameroon.
ABSTRACT
Background and Aim: Radical cystectomy is the treatment of choice for muscle-invasive bladder
cancer. Although open surgery is currently the gold standard for this procedure,
it can also be done via laparoscopy. We aimed to evaluate the oncologic results
and the place of laparoscopic cystectomy in the management of bladder cancer in
a single urology center in Douala, Cameroon. Patients and Methods: This
is a prospective, single-center study carried out from 2015 to 2019. We
included 12 patients (ten men and two women) with bladder cancer who underwent
total radical laparoscopic transperitoneal cystectomy with ilio-obturator lymph
node dissection. Data on patients’ demographic characteristics, pre-operative
and postoperative clinical parameters and workup results, and surgical outcomes
were collected to determine the overall survival using a Kaplan-Meier curve. Results: We recruited ten men and two women with a median age of 61.5 [52.8 - 68.5] years. The mean tumor diameter was 3.75 ± 1.06
cm. Three (25%) patients received adjuvant chemotherapy while eight did not. The
mean surgery duration was 242 ± 45.85
minutes. Blood vessels and nerves were preserved in four (33.33%) patients during
surgery. Transitional cell carcinoma was found in 10 (83.33%)
patients while epidermoid carcinoma was found in two (16.67%) patients.
Metastasis occurred in four (33.33%) patients while the tumor recurred in two
(16.67%) patients who later died. Bricker’s ileal conduit urinary diversion was
performed in 10 (83.33%) patients while the Studer neobladder was used in two
(16.67%) patients. The mean duration of hospitalization was 6 ± 1.48
days. Only one patient (8.33%) developed a postoperative complication. Six
(50%) of the patients died while six survived. The median overall survival was
486 days and the five-year overall survival rate was 46.47%. Conclusion: Laparoscopic cystectomy is a mini-invasive technique associated with good
cancer control. When performed by well-trained staff using specialized
equipment, it can be a safe and effective method of managing muscle-invasive
bladder cancer.
Share and Cite:
Kamadjou, C. , Eyongeta, D. , Kameni, A. , Mpah, H. , Kamga, J. , Ngninkeu, B. and Angwafo, F. (2022) Transperitoneal Laparoscopic Cystoprostatectomy for Muscle Invasive Bladder Cancer: Results and Oncologic Outcomes in a Single Center in Douala Cameroon.
Surgical Science,
13, 529-540. doi:
10.4236/ss.2022.1311061.
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