Ces Urol 2015, 19(3):194-200 | DOI: 10.48095/cccu2015035

Laparoscopic radical cystectomy - first experience

Michal Balík, Petr Hušek, Lukáš Holub, Josef Košina, Miloš Broďák

Urologická klinika FN a LF UK Hradec Králové

Balík M, Hušek P, Holub L, Košina J, Broďák M. Laparoscopic radical cystectomy - first experience.

Aims: The evaluation of our first experience with laparoscopic radical cystectomy.

Methods: A cohort of 12 patients who underwent laparocopic radical cystectomy from April 2014 to June 2015 was assessed. The cohort comprised 11 men and one woman; the mean age was 64.5 (54-74) years. All patients received extensive pelvic lymphadenectomy and cystectomy via laparoscopic approach. The diversion of urine was created extracorporally, eleven ileal conduits and one continent neobladder.

Results: The median follow-up was 10 months. The mean time of surgery was 358 (279-420) minutes. The average blood loss was 266 (100-1000) ml and the mean length of hospital stay was 16.5 (12-30) days. No patient had infection in surgical wounds. One patient died 8 months after surgery from renal failure without subrenal obstruction. One patient with confirmed metastasis in one lymph node underwent adjuvant chemotherapy and palliative chemotherapy for local recurrence and died 9 months after surgery. The patient with continent neobladder developed stenosis in both ureteroileal and urethroileal anastomoses and undergo revision surgery. Nine remaining patients were without complications and in remission.

Conclusion: Laparoscopic radical cystectomy is a minimally invasive and safe alternative to open procedure. We observed lower blood loss, no complication in surgical wounds and shorter convalescence.

Keywords: Laparoscopic radical cystectomy, extracorporeal ileal conduit, extensive pelvic lymphadenectomy.

Received: August 25, 2015; Accepted: September 22, 2015; Prepublished online: September 24, 2015; Published: October 7, 2015