Abstract

  We reviewed the outcomes of laparoscopic radical cystectomy at the Department of Urology of the Sapporo Medical University School of Medicine. We retrospectively evaluated the cases of 78 patients who underwent laparoscopic radical cystectomy from June 2012 to September 2016. The Clavien-Dindo classification was used to evaluate early perioperative complications. The median age of the 78 patients was 69 years. The median operative time was 476 minutes and the median blood loss was 320 ml. According to the Grade 3 and higher grades of the classification, urinary tract infection, intrapelvic abscess and ileus were found in 5, 2 and 1 cases, respectively. The frequency of ileus and surgical site infection in laparoscopic surgery patients was significantly lower than in the open surgery patients in our institute’s affiliated hospitals used as a historical control. Minimally invasive laparoscopic radical cystectomy had less blood loss and fewer perioperative complications than open surgery.