关键词: 腹腔镜, 膀胱癌, 膀胱根治切除, 尿流改道

Abstract: 【Abstract】〓Objective〓To summarize the experience of laparoscopic radical cystectomy. Methods〓Fifteen patients were reported who underwent surgery from August 2010 to January 2015,13 males and 2 females, aged 61-79 years old (average 68 years old) with organ confined, muscle included invasive carcinoma of the bladder. Preoperative clinical diagnosis ranged T2-3N0M0. The surgical procedure was as follows:laparoscopic radical cystectomy and extended pelvic lymph node dissection with removal of prostate or total excision of the uterus and vaginal wall resection. Urinary diversion method included 4 cases of orthotropic ileal neobladder, 9 cases of ileum channel operation, and 2 cases of ureter skin ostomy. Results〓Fifteen operations were successfully performed. The operative time was 220-550 min (average 400 min). The blood loss was 100-800 ml (average 240 ml). Blood transfusion was 0-400 ml (average 200 ml) during and after operation. Oral intake was started on hospital day 3-8. Ureteral stents were removed 3 weeks after operation and the urine tubes in the patients with ileal neobladder were removed in the fourth week. There were no severe complications during 1-40 month of follow-up. Conclusion〓Laparoscopic radical cystectomy is the good choice for radical cystectomy due to small trauma, less bleeding and speedy postoperative recovery.

Key words: Laparoscopy, Bladder neoplasms, Radical cystectomy, Urinary diversion