Introduction: To introduce the experience of laparoscopic
radical cystectomy (LRC) and urinary diversion of a single
Methods: 33 cases of muscle-invasive bladder cancer underwent
LRC and standard lymphadenectomy followed by minilaparostomy
urinary diversion, including 13 cases of orthotopic
T-pouch ileal neobladder, 10 cases of orthotopic Studer ileal
neobladder, 2 cases of orthotopic Sigmoid neobladder and 8
cases of bricker conduit. Functional and oncological results were
Results: Mean procedure time was 6.2 (4-8) hrs, blood loss
451 (100-1000) mL, transfusion 275 (0-800) mL, lymph nodes
dissected 13.3 (5-23) and positive lymph nodes was found in 1
case, no positive margin was found, no peri-operative death. Perioperative
complications were found in 15.1% (5/33) including
2 leaks at neobladder-urethra junction managed by drainage, 1
leak at ureter-neobladder junction which was repaired, 1 colon
fistula treated by colostomy, 1 pelvic infection cured by drainage.
In 45 days post-operative, Temporary dilation of upper urinary
tract (UUT) was observed in 18.1% (6/33) and disappeared
spontaneously in 3 months; temporarily increased serum
creatinine in 2 cases and went back to base level in 3 months.
Slight dilation of UUT was found in 6% (2/33) in late follow up,
while serum creatinine remained in normal range in all patients.
Conclusions: LRC with standard lymphadenectomy and
urinary diversion by mini-laparostomy is an acceptable
minimally invasive procedure. The oncological and functional
results are encouraging. Long term follow up is needed to verify
the advantage of LRC compared with traditional open radical
cystectomy and urinary diversion.