Three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study

World Journal of Surgical Oncology

Research

Shuxin Dai¹  Zhouting Tuo¹  Xiangyu Teng¹  Chang Liu¹  Dian Xia¹  Xin Wang¹  Zhiwei Jiang¹  Songbai Yan¹  Qi Wang¹  Liangkuan Bi² 

[1]Department of Urology, The Second Affiliated Hospital of Anhui Medical University, NO. 678 Furong Road, 230032, Hefei, China

[2]Department of Urology, The Second Affiliated Hospital of Anhui Medical University, NO. 678 Furong Road, 230032, Hefei, China

[3]Peking University Shenzhen Hospital, Shenzhen, China

关键词: Three-port;    Five-port;    Laparoscopic radical cystectomy;    Surgical treatment;    Bladder cancer;   

DOI  :  10.1186/s12957-023-03031-8

 received in 2023-01-04, accepted in 2023-05-03,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThis study aimed to compare the clinical outcomes of patients who underwent three-port laparoscopic radical cystectomy (LRC) with orthotopic neobladder (ONB) and traditional five-port method.MethodsFrom January 2017 to November 2020, 100 patients underwent LRC + ONB at a third-level grade A hospital.ResultsOur study included 55 patients who underwent three-port LRC and 45 patients who underwent the five-port method. There were no significant differences in perioperative data such as operation time (253.00 ± 43.89 vs. 259.07 ± 52.31 min, P = 0.530), estimated blood loss (EBL)(97.64 ± 59.44 vs. 106.67 ± 55.35 min, P = 0.438), day to flatus (2.25 ± 1.49 vs. 2.76 ± 1.77 days, P = 0.128), day to regular diet (7.07 ± 2.99 vs. 7.96 ± 3.32 days, P = 0.165), day to pelvic drain removal (9.58 ± 3.25 vs. 10.53 ± 3.80 days, P = 0.180), and hospital stay after operation (11.62 ± 3.72 vs. 11.84 ± 4.37 days, P = 0.780) between the two groups. The only significant difference was in the treatment cost (P = 0.035). Similarly, postoperative complications, quality of life, and tumor outcomes were not significantly different between the two groups (P > 0.05).ConclusionsThe three-port method is safe and feasible for patients suitable for traditional five-port LRC with an orthotopic neobladder.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 4