Radical cystectomy was a surgical treatment which includes a procedure in which the bladder, nearby lymph nodes, a part of the urethra was been removed. Bladder cancer will tends to spread to other parts or areas of the body, and thereby the bladder & the surrounding organs were generally removed. The treatment was performed by a cut (incision in the lower belly). Sometimes it will be also performed as laparoscopic surgery. Some people call this surgery as “Band-Aid surgery,” because it requires only small cuts or incisions. To do this type of operation, lighted tube or scope & other surgical tools were used by the small cuts in your lower belly to visualize your organs with the help of scope.
Laparoscopic radical cystectomy was also generally done under general anesthesia.
The abdomen was insufflated with carbon dioxide & a number of small cuts or incisions were made to provide access for the surgical instruments & laparoscope. The ureters was then isolated, ligated & divided. The vascular pedicles to the bladder was ligated, transected & stapled. In men seminal vesicles, the bladder and prostate were dissected & removed.
It was retrieved intact without morcellation by an abdominal incision or cut.
A similar procedure was used in the women, but the specimen was extracted transvaginally. According to the tumor burden & stage, the uterus & part of the vagina are to be taken along with the bladder. Rarely the ovaries were also removed.