Results

Our results are comparable with the published surgical techniques utilizing an open approach. In the most recent report of traditional ileovesicostomy formation, the mean operative time was 4 hours (range, 2.8-6.6 hours), and the mean estimated blood loss was 403.8 cc (range, 50-2000 cc) (14). The laparoscopic operative time and blood loss presented here are well within the ranges of those in open surgery. Postoperatively, our patient resumed oral intake and physical activity quickly, had minimal narcotic requirements, and a short hospital stay. There are no detailed data on postoperative morbidity and convalescence in the recent literature for comparison. Our preliminary experience

FIGURE 9 ■ Laparoscopic ileovesi-costomy formation: Anastomosis of the spatulated end of the proximal ileal loop end to the cystotomy site with intracoporeal suturing (A); maturation of the stoma to the laparoscopic port site (B). Source: Courtesy of the Cleveland Clinic Foundation.

FIGURE 9 ■ Laparoscopic ileovesi-costomy formation: Anastomosis of the spatulated end of the proximal ileal loop end to the cystotomy site with intracoporeal suturing (A); maturation of the stoma to the laparoscopic port site (B). Source: Courtesy of the Cleveland Clinic Foundation.

appears to be promising. Further clinical experience and long-term follow-up will be necessary to confirm our findings and define the role of the laparascopic approach for this technique of bladder augmentation and urinary diversion.

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