Efficacy of total laparoscopic radical cystectomy with intracorporeal ileal conduit urinary diversion: a report of 25 cases
10.3969/j.issn.1009-8291.2024.04.005
- VernacularTitle:完全腹腔镜膀胱根治性切除回肠膀胱术治疗膀胱癌25例疗效观察
- Author:
Sihao WANG
1
;
Bohan FAN
1
;
Yue XU
1
;
Liming SONG
1
;
Xiaoguang ZHOU
1
;
Xiaopeng HU
1
;
Wei WANG
1
Author Information
1. Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
- Publication Type:Journal Article
- Keywords:
total laparoscopy;
bladder cancer;
urinary diversion;
ileal conduit;
radical cystectomy
- From:
Journal of Modern Urology
2024;29(4):312-316
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the efficacy and surgical technique of total laparoscopic radical cystectomy with intracorporeal ileal conduit urinary diversion, so as to provide reference for the selection of surgery for patients with bladder cancer. 【Methods】 Clinical data of 48 patients with bladder cancer who underwent laparoscopic radical cystectomy during Mar.2017 and Aug.2022 in our hospital were retrospectively analyzed, including 23 cases who received traditional laparoscopic radical cystectomy combined with extracorporeal ileal conduit, and 25 who received total laparoscopic radical cystectomy with intracorporeal ileal conduit.The operation time, blood loss, postoperative intestinal function recovery time, drainage tube removal time and hospital stay were compared between the two groups. 【Results】 All procedures were successfully performed, and no Clavien-Dindo>grade 3 complications were observed.The operation time, and amount of estimated blood loss of the traditional group and total laparoscopic radical group were (227.0±46.4) min vs. (253.6±58.9) min, and (131.7±79.8) mL vs. (154.0±93.0) mL, respectively.There were no differences in postoperative intestinal function recovery time and drainage tube removal time (P>0.05).The hospital stay was shorter in the total laparoscopic radical group than in the traditional group (P=0.035). 【Conclusion】 Total laparoscopic radical cystectomy with intracorporeal ileal conduit urinary diversion is safe and feasible.which is comparable to the traditional laparoscopic surgery, while the hospital stay in the total laparoscopic group is shorter, which is conducive to rapid postoperative recovery.
