PTU - Polskie Towarzystwo Urologiczne
list of articles:

Laparoscopic cystectomy - an experience of the treatment of two patients
Article published in Urologia Polska 2002/55/2.


Marcin Słojewski, Adam Gołąb, Andrzej Sikorski
Katedra i Klinika Urologii Pomorskiej Akademii Medycznej w Szczecinie Kierownik kliniki: prof, dr hab. Andrzej Sikorski


laparoscopy, cystectomy, bladder cancer


Purpose. We report our experience in laparoscopic cystectomy for bladder carcinoma on the basis of two treated patients.
Material and methods. Details are given of surgery, used in two patients operated on for carcinoma of the bladder. One of them (a man) uderwent a cystoprostatectomy with ileocutancostomy m. Bricker. The urinary diversion was performed by minilapa-rotomy. For the other (a woman) we used laparoscopy for cystectomy, histerectomy and removal of nonfunctioning kidney, and ureterocutancostomy was the mode of urinary diversion.
Results. There were no serious complications. The operative times were 565 and 470 minutes, respectively. The cardiac and respiratory disorders, observed in a woman, were treated in the Intensive Care Unit. Both patients were discharged from hospital seven days after surgery.
Conclusions. Radical cystectomy may be performc with the use of laparoscopic technique. In comparison with open surgery, laparoscopy offers perfect cosmetic results and considerably shorter hospitalization. The role of laparoscopic cystectomy and its oncological effect should be further investigated in prospective trials.


  1. 1. Clayman RV, Kavoussi LR, Soper NJ, Dierks SM, Meretyk S, Darcy MD, Roemer F D, Pinglcton ED, Thomson PG, Long SR:Laparoscopic nephrectomy: initial case report. J Urol 1991; 146: 278-282.
  2. 2. Jarzemski P, Listopadzki S, Wroński S: Osiągnięcia lapro-skopii w urologii, Urol Pol 2001; 54 (3a); 57-59.
  3. 3. Gill IS, Clayman RV, McDougall EM:Advances in urologi-cal laparoscopy. J Urol 1995; 154: 1275-1294.
  4. 4. Gill IS, Fergany A, Klein EA, Kaouk JH, Sung GT, Mera-ney AM, Savage SJ, Ulchaker JC, Novick AC: Laparoscopic radical cystoprostatectomy with ileal conduit performed completely intracorporeally: the initial 2 cases. Urology 2000; 56: 26-29.
  5. 5. Parra RO, Andrus CH, Jones JP, Boullier JA: Laparoscopic cystectomy:initial report on a new treatment for the retained bladder. J Urol 1992; 148: 1140-1144.
  6. 6. Koźmiński M, Partamian KO: Case report of laparoscopic ileal loop conduit. J Endourol 1992; 6: 147-150.
  7. 7. Puppo P, Perachino M, Ricciotti G, Bozzo W, Gallucci M, Carmignani G:Laparoscopically-assisted transvaginal radical cystectomy. Eur Urol 1995; 27:80-84.
  8. 8. Sanchez de Badajoz E, Gallego-Perales JL, Reche RA, de la Cruz GJM, Garrido AJ: Laparoscopic cystectomy and ileal conduit: case report. J Endourol 1995; 9: 59-62.
  9. 9. Denewer A, Kobt S, Hussein O:Laparoscopic-assisted cystectomy and lymphadenectomy for bladder cancer:initial experience. World J Surg 1999; 33: 608-611.
  10. 10. Potter SR, Charambura TC, Adams JB 2nd, Kavoussi LR: Laparoscopic ileal conduit: five-year follow-up. Urology 2000: 56: 22-25.
  11. 11. Fergany AF, Gill IS, Kaouk JH, Meraney AM, Hafez KS, Sung GT:Laparoscopic intracorporeatty conslmcted ileal conduit after porcine cystoprostatectomy. J Urol 2001; 166:285-288.
  12. 12. Gill IS, Meraney AM, Fergany A, Savage SS, Carvalhal EF, Ulchaker IC, Klein EA, Novick AC: Laparoscopic radical cystectomy with ileal conduit performed completely intracor-poreally - the initial experience in 11 patients. J Urol 2001; 165: 62.
  13. 13. Turk I, Deger S, Winkelmann B, Schonberger B, Loening SA: Laparoscopic radical cystectomy with continent urinary diversion (rectal sigmoid pouch) performed completely intra-corporeally: the initial 5 cases. J Urol 2001; 165: 1863-1866.
  14. 14. Gill IS, Ulchaker JC: World\\\\\\\'s first laparoscopic orthotopic neobladder - the final frontier? Urology News - A Physician\\\\\\\'s Newsletter from the Cleveland Clinic Urological Institute 2001; 8: 3.


Marcin Slojewski Katedra i Klinika Urologii PAM
ul. Powstańców Wielkopolskich 72
70-111 Szczecią