Laparoscopic partial cystectomy

When is it needed?

Laparoscopic partial cystectomy is performed in the case of limited benign changes of the urine bladder. Benign tumors (especially of the urine bladder wall) are quite rare, so partial cystectomy is most commonly used to remove the diverticulum of the urine bladder: laparoscopic diverticulectomy. In cases of a significantly decreased urine bladder capacity, usually as a result of a previously unsuccessful conservative treatment of interstitial cystitis in women, the laparoscopic partial cystectomy is applied supratrigonally, meaning that the removed affected section of the wall is replaced with an isolated section of the small intestine.

How is it performed?

In order to perform laparoscopic partial cystectomy, we require 4-5 trocars inserted transabdominally. After removing the segment of the urine bladder wall, we insert a urinary catheter, and close the wall. An additional drainage tube is inserted in order to monitor and control possible bleeding, as well as urine secretion. The endoscopic bag containing the tissue is removed through an extended incision made at one of the trocars. The remaining trocars are removed, and the incisions are stitched up.

What are the possible complications?

Complications in laparoscopic partial cystectomies are very rare and carry no additional risks beyond the general risks of laparoscopic surgery, such as the damage of stomach organs or blood vessels. However, these risks are minimal and occur in less than 1% of all patients. Approximately less than 2% of laparoscopic partial cystectomies require a conversion to the open surgical approach.