First experiences of laparoscopic radical ctstecytomy

Abstract

(Purpose): We determined whether laparoscopic radical cystectomy (LRC) was useful for the patients with bladder cancer. (Materials and methods): We investigated the surgical outcome of LRC in the initial 30 patients with bladder cancer. (Results): Mean patients age was 68 (54-81) years old. Twenty six male and 4 female were enrolled. Lymphnode dissection was variably performed under aeroperitoneum. Twenty six patients were undergone ileal conduit and 4 patients were undergone ileal neobladder as urinary diversion. The urinary diversion of all cases was undergone extracorporeally. Seventeen patients were received platinum based neo and adjivant-chemotherapy. Mean surgical time was 684 (398-950) min, and mean aeroperitoneum time was 418 (235-660) min. Intraoperative major complications were ureter injury and blood loss. Mean blood loss was 1,063 (150-2,730) ml intraoperatively. Ileus and acute pyeronephritis were observed in the 3 patients postoperatively. Seven patients relapsed and 2 patients died with bladder cancer in 14.9 months of median follow-up period (0.7-35.9) after the surgery. Progression free survival rate and overall survival rate at a year after surgery were 75.2% and 100%, respectively. (Conclusions): The surgical therapy with LRC was well tolerated and successful in the patients with bladder cancer. © 2013 The Japanese Urological Association.