Laparoscopic radical cystectomy with ileal conduit urinary diversion.
OBJECTIVE
To report on the surgical technique of laparoscopic radical cystoprostatectomy with ileal conduit urinary diversion.


METHODS
A 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.


RESULTS
The 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.


CONCLUSIONS
Laparoscopic 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.
Sorcini
Andrea
A
Department of Urology, Lahey Clinic, Burlington, MA 01805, USA.
Tuerk
Ingolf
I
D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery*; D015653:Cystectomy; D006801:Humans; D007082:Ileum / Q000601:surgery* / Q000637:transplantation; D010535:Laparoscopy; D008297:Male; D011468:Prostatectomy; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*