Abstract
Aim: The present study is to assess the morbidity on comparing Pfannenstiel vs. midline incision following minimally invasive radical cystectomy.
Highlights
Minimally invasive radical cystectomy with an extra-corporeal diversion through Pfannenstiel incision offers an advantage of less morbidity than midline incision
Minimal access radical cystectomy is commonly performed for localized carcinoma bladder but the reconstructive part of surgery is challenging
Morbidity of open surgery can be reduced and the advantage of minimal access surgery (MAS) can be gained with Pfannenstiel incision, transverse incisions in abdominal surgery are based on better anatomical and physiological principles[1]
Summary
Minimal access radical cystectomy is commonly performed for localized carcinoma bladder but the reconstructive part of surgery is challenging. Open reconstruction can offer the advantage of minimal access surgery (MAS). Approaches for radical cystectomy are open, laparoscopic or robotic; and "open" approach is the gold standard of surgical treatment. Even in this era of minimally invasive surgery, there are some institutions/centers, which practice the "open" approach. Open approach has its own disadvantages like intra-operative blood loss, prolonged hospital stay, delay in recovery, significant morbidity and even mortality. In the era of minimal access surgery, laparoscopy and robotic approaches can become standard of care for the surgical management of organ-confined carcinoma bladder with advantages of less blood loss, high lymph node yield, less pain, early recovery, fewer complications and mortality and short hospital stay. The major disadvantages of minimal access surgical approach are costs of implementation and lack of haptic feedback
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