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Laparoscopic radical cystectomy with ileal conduit urinary diversion
1Department of Urology, Lahey Clinic, Burlington, MA 01805, USA.
Urologic Oncology
|April 15, 2004
Summary
Laparoscopic radical cystoprostatectomy with ileal conduit urinary diversion is a feasible surgical option for bladder cancer. This minimally invasive technique offers a disease-free outcome with no complications in select patients.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Transitional cell carcinoma of the bladder requires radical cystoprostatectomy with urinary diversion.
- Minimally invasive surgical approaches are increasingly preferred for complex oncologic procedures.
Observation:
- A 79-year-old male with locally advanced bladder cancer underwent a laparoscopic radical cystoprostatectomy with ileal conduit urinary diversion.
- The procedure involved laparoscopic cystoprostatectomy and mini-laparotomy for ileal conduit and stoma creation.
Findings:
- The surgery was successfully completed laparoscopically with free surgical margins and no intra/postoperative complications.
- The patient experienced a short hospital stay of 6 days and showed no evidence of disease at 3 months post-surgery.
Implications:
- Laparoscopic radical cystoprostatectomy with ileal conduit is a viable treatment for organ-confined bladder cancer.
- This technically demanding procedure necessitates performance at experienced high-volume centers for optimal outcomes.