A comparative study between open and laparoscopic approach in radical cystectomy with orthotopic ileal neobladder

Objective Probably, laparoscopic radical cystectomy with ileal neobladder and neovesicourethral anastomosis is one of the most complex procedures in minimally invasive surgery. Materials and methods Prospective study carried out in 72 patients surgically treated for invasive bladder neoplasia between January 2008 and October 2013. Patients underwent radical cystectomy with ileal neobladder (open approach in 33 patients and laparoscopic approach in 39). The study assessed comparatively surgical outcomes, continence rate and postoperative complications. Results Mean age was 63.5 ± 9 years (64.3 open vs. 62.7 laparoscopic, p = 0.46), mean surgery time 323.6 ± 78.7 minutes (321.3 vs. 326.5, p = 0.77), average hospital stay 14.8 days ± 8.1 (16.2 vs. 13.6, p = 0.2), transfusion rate 40.3% (66.7% vs. 17.9%, p