Publication: Laparoscopic radical cystectomy with ileal conduit diversion: The first case report in Thailand
Issued Date
2005-12-01
Resource Type
ISSN
01252208
01252208
01252208
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2-s2.0-33244482833
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.88, No.12 (2005), 1947-1951
Suggested Citation
Kittinut Kijvikai, Suthep Patcharatrakul, Wisoot Kongchareonsombat, Charuspong Dissaranan Laparoscopic radical cystectomy with ileal conduit diversion: The first case report in Thailand. Journal of the Medical Association of Thailand. Vol.88, No.12 (2005), 1947-1951. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/16722
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Title
Laparoscopic radical cystectomy with ileal conduit diversion: The first case report in Thailand
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Abstract
Objective: To report the authors' first experience on a surgical technique for laparoscopic radical cystectomy with ileal conduit diversion. Material and Method: A 55 year-old man, weighing 65 Kg with histology proven T 2 transitional cell carcinoma of the urinary bladder underwent laparoscopic radical cystectomy with ileal conduit diversion. The cystoprostatectomy was performed by laparoscopic technique, whereas ileal conduit and stroma were performed through a mini-laparotomy. Results: The procedure was performed successfully without open conversion. The operation time was 350 min. Estimated blood loss was 1,100 ml. Only 6 mg morphine was needed for postoperative pain relief. The surgical margins were free from tumor. The hospital stay was 8 days. The patient returned to his normal activities 3 weeks after surgery. Conclusion: Laparoscopic radical cystectomy with ileal conduit diversion was a feasible and safe operation for muscle invasive carcinoma of the urinary bladder. However, the procedure needed a steep learning curve and should be performed in centers having experience in laparoscopic surgery.