• Andrea Sorcini and Ingolf Tuerk.
• Department of Urology, Lahey Clinic, Burlington, MA 01805, USA.
• Urol. Oncol. 2004 Mar 1; 22 (2): 149-52.

ObjectiveTo report on the surgical technique of laparoscopic radical cystoprostatectomy with ileal conduit urinary diversion.MethodsA 79 years old man with histologically proven transitional cell carcinoma of the bladder stageT 2b NxMx underwent a laparoscopic radical cystoprostatectomy with ileal conduit urinary diversion. The cystoprostatectomy was performed with laparoscopic technique. Creation of the ileal conduit and the stoma were performed through a mini-laparotomy. Specific technical aspects are described.ResultsThe procedure was completed laparoscopically. The creation of the ileal conduit and stoma were performed through a mini-laparotomy. The surgical margins were free of disease. There were no intra or postoperative complications. The operative time was 290 min. Estimated blood loss was 380 mL. Hospital stay was 6 days. At 3 months there is no evidence of disease. The patient resumed his normal activity.ConclusionLaparoscopic radical cystoprostatectomy with ileal conduit urinary diversion is a feasible option for organ-confined carcinoma of the bladder. The procedure is technically demanding and should be performed in centers with large experience in laparoscopic surgery.

18 keywords...

hide…