Immediate results of orthotopic intracorporal ileoneocystoplasty




bladder cancer, laparoscopic radical cystectomy, studer’s operation, bricker’s operation, orthotopic ilineocystoplasty, vesicourethral anastomosis


Since 1960, the gold standard for the treatment of MIRSM is radical cystectomy (RCE) with pelvic lymph dissection. The formation of an artificial orthotopic bladder (provided that the patient has the appropriate indications) is optimal for the subsequent successful psycho-social and labor readaptation of the patient after RCE. The currently used a large number of different technologies of urine derivation in the course of radical cystectomy testifies to the lack of a single generally accepted, and therefore the most optimal method, which objectifies further scientific research in this area.


World Health Organisation (WHO) Databank. Health statistics and information systems. Geneva, Switzerland: WHO. URL:

Roghmann F., Noldus J., von Bodman C., Holz A., Brock M., Palisaar J. Cystectomy in elderly patients: analysis of complications using the Clavien-Dindo classification. Urologe A. 2012. Vol. 51. P. 1386–1392.

Lawrentschuk N., Colombo R., Hakenberg O.W., Lerner S.P., Manson W., Sagalowsky A. et al. Prevention and management of complications following radical cystectomy for bladder cancer. Eur Urol. 2010. Vol. 57(6). P. 983–1001.

Krajewski W., Zdrojowy R., Tupikowski K., MaBkiewicz B., KoBodziej A. How to lower postoperative complications after radical cystectomy – a review. Cent European J Urol. 2016. Vol. 69(4). P. 370–376.

Shariat S.F., Lee R., Lowrance W.T. et al. The effect of age on bladder cancer incidence, prognosis and therapy. Aging Health. 2010. Vol. 6. P. 649–659.

Tyritzis S.I., Anastasiou I., Stravodimos K.G., Alevizopoulos A., Kollias A., Balangas A., Katafigiotis I., Leotsakos I., Mitropoulos D., Constantinides C.A. Radical cystectomy over the age of 75 is safe and increases survival. BMC Geriatr. 2012. Vol. 12. P. 18.

Shalhoub P.J., Quek M.L. Management of bladder cancer in the elderly: clinical decision-making and guideline recommendations. Aging Health. 2010. Vol.6. P. 607–610.

Parekh D.J., Reis I.M., Castle E.P. et al. Robot assisted radical cystectomy versus open radical cystectomy in patients with bladder cancer (RAZOR): an open-label, randomized, phase 3, non-inferiority trial. Lancet. 2018. Vol. 391. P. 2525–2536.

Studer U.E., Ackermann D., Casanova G.A., Zingg E.J. Three years experience with an ileal low pressure bladder substitute. British journal of urology. 1989. Vol. 63. P. 43–52.

Clavien P.A., Barkun J., de Oliveira M.L. et al. The Clavien-Dindo classification of surgical complications: Five-year experience. Ann Surg. 2009. Vol. 250(2). P. 187–196.