Clinical efficacy and complications of laparoscopic radical cystectomy with orthotopic ileal neobladderin for treatment of bladder cancer

Abstract

Objectives To explore the clinical efficacy and safety of laparoscopic radical cystectomy with orthotopic ileal neobladderin in the treatment of patients with bladder cancer. Methods 70 patients underwent radical cystectomy with orthotopic ileal neobladder in our hospital from January 2009 to March 2014 were selected as the research object, including 30 patients underwent laparoscopic operation as the observation group, and 40 patients underwent open operation as control group.Indexes of perioperation period, the new bladder function and total complications were compared in two groups. Results Observation group hospitalization time, recovery time of gastrointestinal function, amount of bleeding in the observation group were less than control group, there was statistically significant difference(P 0.05). Total complication rate of observation group(16.7%) was significantly lower than that of control group(37.5%), and there was statistically significant difference between the two groups(χ2=4.642, P<0.05). Conclusions Laparoscopic radical cystectomy with orthotopic ileal neobladder has the advantages of minima1 trauma, less bleeding, rapid recovery, good bladder function and low complications.It is worth popularizing application in clinical. Key words: Urinary Bladder Neoplasms; Cystectomy; Laparoscopes; Urinary Diversion