Bowen Tang,Shenglin  Gao,Jiasheng  Chen,Chao  Lu,Xingyu  Wu,Weijiang  Mao,Li-feng  Zhang,Li  Zuo,
Clinical Efficacy Analysis of Two Different Surgical Approaches to Laparoscopic Radical Cystectomy with Urinary Diversion for Invasive Bladder Cancer
Journal of Surgical Oncology
2020
2674-3000
http://dx.doi.org/10.31487/j.JSO.2020.03.06
https://www.sciencerepository.org/clinical-efficacy-analysis-of-two-different-surgical-approaches-to-laparoscopic_JSO-2020-3-106 
Abstract: Objective: The present study aimed to compare the efficacy, and advantages and disadvantages of
laparoscopic radical cystectomy + extraperitoneal bilateral ureterocutaneostomy versus laparoscopic radical
cystectomy + ileal cystoplasty (Bricker procedure) in the treatment of invasive bladder cancer.
Method: Forty-five patients (retrospectively registered) with grade II–III bladder invasive urothelial
carcinoma were divided into two groups to compare clinical efficacy, operative duration and blood loss,
postoperative intestinal function recovery, length of hospitalization, and complications. Those in the
ureterocutaneostomy group (n=25) were treated using laparoscopic radical cystectomy + extraperitoneal
bilateral ureterocutaneostomy, while those in the ileal cystoplasty group (n=20) were treated using
laparoscopic radical cystectomy + ileal cystoplasty.
Results: Laparoscopic radical cystectomy + extraperitoneal bilateral ureterocutaneostomy shortened the
operation, improved patient tolerance, and decreased postoperative intestinal function recovery time.
However, its long-term clinical efficacy needs further study using larger sample sizes to confirm these
results.
Conclusion: Results of this study demonstrated that extraperitoneal bilateral ureterocutaneostomy after
cystectomy had advantages of less trauma, a shorter learning curve, less surgical bleeding, and quicker
postoperative recovery. Although early and mid-term follow-up revealed a slightly higher incidence of
hydronephrosis, the severity of complications was not high in most patients. Nevertheless, the long-term
clinical efficacy of this procedure needs further study using larger sample sizes.Keywords: Bladder cancer, laparoscopic radical cystectomy, ileal cystoplasty, extraperitoneal bilateral,  ureterocutaneostomy