Laparoscopic radical cystectomy with ileal conduit diversion: the first case report in Thailand
Kijvikai, K.; Patcharatrakul, S.; Kongchareonsombat, W.; Dissaranan, C.
Journal of the Medical Association of Thailand 88(12): 1947-1951
2005
ISSN/ISBN: 0125-2208 PMID: 16518998 Document Number: 9259
To report the authors' first experience on a surgical technique for laparoscopic radical cystectomy with ileal conduit diversion. A 55 year-old man, weighing 65 Kg with histology proven T 2 transitional cell carcinoma of the urinary bladder underwent laparoscopic radical cystectomy with ileal conduit diversion. The cystoprostatectomy was performed by laparoscopic technique, whereas ileal conduit and stroma were performed through a mini-laparotomy. The procedure was performed successfully without open conversion. The operation time was 350 min. Estimated blood loss was 1,100 ml. Only 6 mg morphine was needed for postoperative pain relief. The surgical margins were free from tumor. The hospital stay was 8 days. The patient returned to his normal activities 3 weeks after surgery. Laparoscopic radical cystectomy with ileal conduit diversion was a feasible and safe operation for muscle invasive carcinoma of the urinary bladder. However, the procedure needed a steep learning curve and should be performed in centers having experience in laparoscopic surgery.
Document emailed within 1 workday
