title: Laparoscopic radical cystectomy: neobladder or ileal conduit, debate still goes on.
abstract: OBJECTIVE
  To compare the pre, intra, and post-operative data between ileal conduit and neobladder urinary diversions during laparoscopic radical cystectomy(LRC).
  
  
  METHODS
  Between 2006 and 2011, 63 patients who underwent LRC and urinary diversion had their data input prospectively into a database and said data used for the analysis. The outcome comparators were the patient demographics, operative time, conversion rate, blood loss, transfusion rate, morphine analgesic requirement, length of hospital stay, complication rates, follow up, and quality of life assessments. A Mantel-Haenszel test was used for dichotomous data and an inverse variance method was used for continuous data. P values less than 0.5 were considered significant.
  
  
  RESULTS
  Thirty-nine patients (60 ±7.11 years) had ileal conduits and 24 patients (57 ±8.68 years) had neobladder urinary diversion. No difference was found (P >0.05) regarding age, BMI, smoking history, TURBT pathology result, blood loss, blood transfusion requirement, conversion rates, length of hospital stay, morphine requirement, complications, or follow-up and quality of life. The neobladder groups did have more previous abdominal operations and had significantly longer operative time.
  
  
  CONCLUSIONS
  We found no difference between either types of diversion in all comparative aspects except that the neobladder had longer operative times. This is the first comparative study between ileal conduit and neobladder urinary diversion after laparoscopic radical cystectomy and can pose as a bench mark for future comparisons.
authors: Islamic University of Gaza, College of Medicine, Gaza, Palestine ; Department of Urology, University Hospital of Wales, Heath Park, United Kingdom ; Department of Urology, Collegium Medicum Jagiellonian University, Cracow, Poland.
authors: Omar M
authors: OM
authors: Aboumarzouk
authors: Department of Tissue Engineering, Medical College, Nicolaus Copernicus University, Toruń, Poland ; Department of Urology, Nicolaus Copernicus University, Toruń, Poland.
authors: Tomasz
authors: T
authors: Drewa
authors: Department of Urology, Institute of Oncology, Kielce, Poland.
authors: Pawel
authors: P
authors: Olejniczak
authors: Department of Urology, Collegium Medicum Jagiellonian University, Cracow, Poland.
authors: Piotr L
authors: PL
authors: Chlosta
keywords: bladder cancer; laparoscopic radical cystectomy; laparoscopy; lymph node dissection; radical cystectomy