TITLE:
Application of Intrafascial Neurovascular Bundle Spare Technique in Radical Cystectomy
AUTHORS:
Tiejun Pan, Yu Zhou, Guoqiu Shen, Handong Wen, Weihong Qian
KEYWORDS:
Radical Cystectomy; Neurovascular Bundle Spare; Intrafascial Technique
JOURNAL NAME:
Open Journal of Urology,
Vol.3 No.4,
July
25,
2013
ABSTRACT: Objective: To investigate the significance of intrafascial neurovascular
bundle spare technique in radical cystectomy. Methods: Between March 2010 and December 2011, a total of 26 bladder
cancer patients were treated with radical cystectomy, and
intrafascial neurovascular bundle spare technique was applied in all
these patients. Mean age of 26 patients was 56.1 y (45 - 66). Among
26 patients, 21 cases were in stage T2, 5 cases were in stage T3. All patients
choose Orthotopic neobladder as urinary diversion manner. We use intrafascial
neurovascular bundle spare technique, dissect between prostatic fascial and
prostatic capsule, spare neurovascular bundle. Operating time, blood loss, complications,
continence and sexual function 3 months after surgery were recorded. Results: In all patients, mean
operating time was 328 min, mean blood loss was 316 ml. Only 4 patients
need transfusion during surgery. 1 case of urinary fistula was found after
surgery, and spontaneously cured 10 days after surgery. 1 case of bowel
obstruction was found, and was cured by conservative therapy. 4 cases of
incontinence were found 3 months after surgery. 18 patients had a nomal
erectile function 3 months after surgery. Conclusions: Intrafascial neurovascular bundle spare technique can safely and effectively
reserve neurovascular bundle in radical cystectomy. Patients can reserve
continence and erectile function by this technique.