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Bladder Cancer
" The bladder cancer is the second more frequent urologic neoplasia after the prostate cancer."

The bladder cancer represents approximately 90% of the cancers of the urinary tract (renal pelvis, ureters, bladder, and urethra). In Mexico, the carcinoma of scaly cells only represents 8%, and the carcinoma of transitional cells 90% of the urothelial cancers. The bladder cancer usually originates in the lining of the bladder that consists on a layer of cells of the surface (cells of the transition epithelium), flat muscle, and a serous layer. The tumors are classified as of low degree (superficial) or of high degree (muscle invaders).

The cystoscopy is useful to visualize inside the bladder, and to take a biopsy to confirm the diagnosis of bladder cancer. In some cases, the tumor can be completely eliminated, method known as transurethral resection (TUR). When the bladder cancer invades the wall of the bladder, the best treatment consists on the complete extraction of the bladder. What is known as radical cistectomy. Also, the lymphatic ganglions of the pelvis are extracted. After the bladder is extirpated, there are several methods of reconstruction of the urethra, all which imply the construction of a new bladder taken from a segment of the intestine. There exists a wide variety of new bladders, and each one is appropriate for each patient.

The radical cistectomy, the dissection of lymphatic ganglions, and the reconstruction of the urethra can be carried out by an open traditional surgery. This implies an incision of the pubis that extends lightly above the umbilical scar. This same surgery can be carried out using the da Vinci surgical system. Similar to the laparoscopic surgery, the robotic cistectomy implies several small incisions (5 - 10 mm) and the use of a lens to carry out the surgical procedure.  
 

There also exist other treatment options with immunotherapy and chemotherapy, depending on the case.
Cáncer de Vejiga  

The surgery
The group of doctors of the IURL carries out the laparoscopic robotic open cistectomy. The duration of the surgery is from four to six hours. In the laparoscopic radical cistectomy attended by a Robot, are made 5 incisions of 1 cm and one incision in the navel, of approximately 4 cm, several probes are placed and they will remain some days to be removed later. The type of urethral reconstruction is chosen according to the patient's status, comorbidity and clinical stage of the bladder cancer. In the institute we have a team of nurses attending and instructing the patient according to topics of stomas care and urinal derivations.

This is a surgery that bears some risks which you should know:
Bled
Blood clots
Infection
Hernia
Tissues injure
  The switch to open surgery

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