Complete laparoscopic approach for radical cystectomy and continent urinary diversion (sigma rectum pouch).

Technical and manual progress made in recent years now enables large uro-oncological procedures to be performed by means of laparoscopy. We report the first successful radical laparoscopic cystectomy and laparoscopic construction of a continent urinary diversion. Laparotomy can be avoided completely. The advantages are clear reduction of blood loss and postoperative morbidity with faster convalescence.