Laparoscopic radical cystectomy with ileal conduit diversion in patient with bladder cancer.

About the Patient and Condition

An 85-year-old gentleman presented at Apollomedics Super Specialty Hospital, Lucknow with extensive bleeding from the urinary tract with severe anemia.

Case Scenario

An 85-year-old male patient was admitted under Dr Adittya Kumar Sharma, Urologist at Apollomedics Super Specialty Hospital, Lucknow. He was suffering from hematuria and imaging revealed a large bladder mass. TURBT and biopsy were done, which confirmed high-grade muscle invasive Urothelial carcinoma. Patient had extensive bleeding from the urinary tract with severe anemia and advanced urinary bladder cancer. It was a life threatening scenario that required immediate medical intervention. Also, due to advanced age, the surgical procedure for the removal of cancer was challenging and risky for the patient.

Conventional open surgery for such cancers comes with its own risk of bleeding, large incision and delayed recovery along with the risk of additional complications related to the intestine in extreme cases with risk to life in 2 to 3 % cases.

Dr Adittya Kumar Sharma, Urologist and his team decided to go for a minimally invasive approach, Laparoscopic radical cystectomy (LRC) (used for removal of bladder tumor and surrounding tissues for treatment of bladder cancer) and reconstruction of a urinary pouch called the ileal conduit with a segment of intestine. The entire surgery was performed through key-hole size small incisions and with very minimal bleeding. Due to less post-operative pain and discomfort, patient was mobilized the very next day. Thus, the recovery was very prompt and patient got discharged within 48 hours from the day of surgery.

Worldwide Scenario

Bladder cancer is a relatively common malignancy worldwide, with an estimated 550,000 new cases and 200,000 deaths reported annually. Incidence rates of bladder cancer vary widely across regions, with the highest rates observed in Europe and North America. Mortality rates are highest in developing countries, where the disease is often diagnosed at an advanced stage.

Expertise at Apollo Hospitals

At Apollomedics Super Specialty Hospital, Dr Adittya Sharma and his team has successfully treated over 50 such cases in last 4 years with excellent surgical outcome and disease specific survival over 90%. Minimally invasive laparoscopic technique has shown to reduce perioperative morbidity and mortality drastically. Multimodality therapy remains the key as early recovery after surgery enables patient to quickly receive further Chemo or Immunotherapy.

Apollo Hospitals – touching Lives

Laparoscopic radical cystectomy and bladder reconstruction are complex procedures that require extensive training and experience to perform. While they offer faster recovery times and reduced pain compared to traditional open surgery, they also carry risks and potential complications that should be carefully considered before undergoing the procedure. At Apollo, doctors are highly trained and experienced in performing such surgeries.

Testimonial

The patient and family were happy and thankful to the entire team for giving him a new lease of life.