Case Report of Laparoscopic Heal Loop Conduit

Kozminski, Michael A.; Partamian, Krikor O.

doi:10.1089/end.1992.6.147

Cited by 82 publications

(23 citation statements)

References 7 publications

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“…Kozminski and Partamiam [10] reported the first laparoscopically assisted ileal conduit construction; the ureters were mobilized and transected laparoscopically with the left ureter transposed through the sigmoid mesocolon. However, the bowel anastomosis and both Bricker ureteroileal anastomoses were made extracorporeally through extended port sites.…”

Section: Diversionmentioning

confidence: 99%

Laparoscopic radical cystectomy and urinary diversion: fad or future?

Hrouda¹,

Adeyoju²,

Gill³

2004

BJU International

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Section: Diversionmentioning

confidence: 99%

Laparoscopic radical cystectomy and urinary diversion: fad or future?

Hrouda¹,

Adeyoju²,

Gill³

2004

BJU International

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“…Kozminski and Partamian [23] reported the first laparoscopically assisted ileal conduit construction. Hong et al [19] reported their preliminary experience on laparoscopic radical cystectomy with extracorporeal urinary diversion.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Radical Cystectomy with Extracorporeal Ileal Conduit Urinary Diversion for Treatment of Chinese Bladder Cancer Patients

et al. 2007

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Purpose: To present our experience in laparoscopic radical cystectomy with extracorporeal urinary diversion for treatment of Chinese bladder cancer patients. Methods: Between January 2003 and November 2005, 41 men and 5 women with organ-confined muscle-invasive transitional cell carcinoma of the bladder underwent laparoscopic radical cystectomy with the Bricker-type urinary diversion. The age range was 36–71 years. Laparoscopic radical cystectomy and bilateral pelvic lymphadenectomy were performed using five fan-shaped ports by a transperitoneal approach. An ileal conduit diversion was created through the site of specimen retrieval which was the second port at the region of the right pararectus. Results: 46 radical cystectomies with Bricker-type ileal conduits were performed. No conversion to open surgery was necessary. Mean operating time was 220 min (range 120–249 min) for laparoscopic radical cystectomy and 75 min (range 65–120 min) for creating the ileal conduits. Mean estimated blood loss was 276 ml (range 155–567 ml). Two of the 46 patients needed blood transfusion (400 ml each). Mean days to ambulation and oral intake was 4.1 (range 3–5 days) and 3.5 (range 3–6 days), respectively. Mean hospital stay was 17.6 days (range 12–35 days). Mean follow-up was 6.1 months (range 3–19 months). Histopathological examination of the specimens revealed stage T2N0M0 in 18 cases, T3aN0M0 in 14, T3bN0M0 in 9 and T3bN1M0 in 5 (TNM staging). WHO grading: G1 in 2 cases, G2 in 26 cases and G3 in 18 cases. Pelvic metastases appeared in one case and 44 patients are alive and free of disease. Intravenous pyelogram at 3 weeks postoperatively shows no evidence of upper urinary obstruction in 45 patients. Conclusion: Despite technical difficulties, laparoscopic radical cystectomy with Bricker-type urinary diversion is feasible. With more experience in the surgical technique, laparoscopic radical cystectomy with extracorporeal urinary diversion can become an alternative treatment of choice in the selected patients with organ- confined bladder cancer in China.

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“…Kozminsky and Partamian [16] and San chez de Badajoz et al [ 17] already demonstrated the feasi bility of a so-called 'laparoscopic' Bricker procedure, which is performed outside the abdomen using one or two small laparotomies.…”

Section: Discussionmentioning

confidence: 99%