Kittinut KijvikaiSuthep PatcharatrakulWisoot KongchareonsombatCharuspong DissarananMahidol UniversityPolice General HospitalVajira Hospital2018-06-212018-06-212005-12-01Journal of the Medical Association of Thailand. Vol.88, No.12 (2005), 1947-195101252208012522082-s2.0-33244482833https://repository.li.mahidol.ac.th/handle/20.500.14594/16722Objective: 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.Mahidol UniversityMedicineArticleSCOPUS