Laparoscopic cystectomy with lymphadenectomy and ileoconduitis creation: А case report

Abstract

Relevance: Radical cystectomy remains the “gold standard” of treatment for muscle-invasive and locally advanced bladder cancer. The article describes the capacity and technique of laparoscopic cystoprostatectomy with lymphadenectomy and the creation of an ileoconduitis in bladder cancer, since the authors could not find publications on conducting laparoscopic cystoprostatectomy with the creation of an ileoconduit in oncological and urological clinics in Kazakhstan by domestic specialists.
The purpose was to describe an attempt to reproduce laparoscopically the method of open radical cystectomy as accurately as possible.
Results: In the described case, the patient diagnosed with the bladder cancer T2N0M0 IIst underwent surgery in the form of laparoscopic cystectomy with lymphadenectomy and the creation of an ileoconduitis. This method of surgical intervention is minimally invasive, less traumatic, and ensures quick recovery in the postoperative period. 
Conclusion: Laparoscopic execution of radical cystectomy allows preserving the advantages of minimally invasive interventions without losing the reliability of the well-proven open surgery. Currently, the implementation of such minimally invasive surgical interventions is possible in many clinics in Kazakhstan, equipped with endoscopic video equipment, if there are specialists experienced in open surgery.