title: Open-assisted laparoscopic radical cystectomy using an ileal neobladder with intracorporeal urethra-neobladder anastomosis: technique and early experiences.
abstract: OBJECTIVE
  Laparoscopic radical cystectomy is now widely performed in cases of muscle-invasive bladder cancer. The present study experience with laparoscopic radical cystectomy using an ileal neobladder in which urethra-neobladder anastomosis was successfully performed intracorporeally
  
  
  METHODS
  Between March and November 2009, five patients underwent laparoscopic radical cystectomy using an ileal neobladder with urethra-neobladder anastomosis. Preoperative characteristics, operative data, and results were analyzed.
  
  
  RESULTS
  The operation was successful for all patients. The mean operative time was 6 hours and 30 minutes. Mean estimated blood loss was 560 ml. No intraoperative complications occurred. Mean hospital stay was 19.6 days. Mean Foley catheter indwelled time was 18 days. Return of bowel function took 4.8 days. Mean time to remove silastic drain was 14.2 days. After Foley catheter removal, all patients spontaneously voided without difficulty.
  
  
  CONCLUSIONS
  Laparoscopic radical cystectomy of ileal neobladders using intracorporeal urethra-neobladder anastomosis is technically feasible. This technique takes advantage of laparoscopic surgery, good visualization, additional stitches, and more secure anastomosis.
authors.affiliation: Division of Urology, Department of Surgery, Ramathibodi Hospital, Mahidol University Bangkok, Thailand.
authors.forename: Premsant
authors.initials: P
authors.lastname: Sangkum
authors.forename: Suthep
authors.initials: S
authors.lastname: Patcharatrakul
authors.forename: Wisoot
authors.initials: W
authors.lastname: Khongchareonsombat
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D016063:Blood Loss, Surgical / Q000517:prevention & control / Q000706:statistics & numerical data; D057186:Comparative Effectiveness Research; D015653:Cystectomy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000517:prevention & control*; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods; D016476:Urinary Reservoirs, Continent