Laparoscopic Radical Cystectomy with Extracorporeal Ileal Conduit Diversion.
- Author:
Gyung Tak SUNG
1
;
Won Yeol CHO
;
Dong Woo KIM
;
Dong Won CHOI
;
Soo Dong KIM
;
Jun Seung HWANG
;
Jin Han YOON
Author Information
1. Department of Urology, Dong-A University School of Medicine, Busan, Korea. sunggt@daunet.donga.ac.kr
- Publication Type:Case Report
- Keywords:
Cystectomy;
Urinary diversion;
Laparoscopy;
Bladder neoplasms
- MeSH:
Carcinoma, Transitional Cell;
Cystectomy*;
Humans;
Ileus;
Laparoscopy;
Length of Stay;
Male;
Middle Aged;
Operative Time;
Postoperative Complications;
Urinary Bladder;
Urinary Bladder Neoplasms;
Urinary Diversion*;
Walking
- From:Korean Journal of Urology
2003;44(8):826-831
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Since January 2003, two male patients, 60 and 47 years old, with muscle-invasive, organ-confined, transitional cell carcinomas of the urinary bladder underwent laparoscopic radical cystoprostatectomy with extracorporeal ileal conduit urinary diversion (LRCEIC). The surgical time was 8.5 hours in the first patient and 10 hours in the second. The respective blood losses were 350 and 380ml. In the first patient, ambulation resumed on day 2, bowel sounds on day 3 and oral intake on day 4, with a hospital stay of 8 days. In the second patient, due to inadvertent rectal injury, which was discovered on day 3, ambulation, bowel sounds and oral intake could not be determined. A pathological examination revealed a pT1N0M0 transitional cell carcinoma of the bladder, with the surgical margins negative for cancer, in the first patient, and a pT3bN1M0, with the surgical margins positive for cancer, in the second. Immediate postoperative complications included rectal injury and ileus in the second patient. With further experience and refinement in the operative technique, it is believe that LRCEIC can be performed safely and efficaciously in selected muscle-invasive bladder cancers.
