Objective: To report our experience with laparoscopic radical cystectomy and extracorporeal orthotopic continant urinary diversion for high-grade muscle invasive bladder cancer.

Material and methods:  Total of 3 patients (3 men ; mean age 64.75 years, range 51-73) with bladder cancer underwent laparoscopic radical cystectomy and bilateral pelvic lymph node dissection  using five ports by a transperitoneal approach at our institution. Urinary diversion and urethral anastomoz was done extracorporeally through the specimen extraction incision.

Results: The mean operating time was  411.25 minutes (280-555), and the mean blood loss was 325 mL(100-500). The mean hospital stay was 10.25 days (6-14). Histologic examination showed organ-confined tumors (pT2)in the three male patients.

Conclusion: In literature, laparoscopic radical cystectomy was reported to be safe, feasible, and effective alternative to open radical cystectomy. Similarly, our results confirm the superiority of laparoscopic approach. Extracorporeal urinary diversion and urethral anastomz through a small incision decreases the operating time, while maintaining the benefits of laparoscopic surgery.

Conference Title

turkish internartional urology congress

Conference Country

Turkey

Conference Date

Jan. 1, 2008 - Jan. 1, 2008

Conference Sponsor

turkish internartional urology congress