Feasibility of a novel extraperitoneal two-port laparoendoscopic approach for radical prostatectomy: An initial study

作者：Nakane Akihiro^*; Akita Hidetoshi; Okamura Takehiko; Ando Ryosuke; Kobayashi Takahiro; Naiki Taku; Yasui Takahiro; Kohri Kenjiro

来源：International Journal of Urology, 2013, 20(7): 729-733.

DOI：10.1111/iju.12034

• extraperitoneal endoscopic approach
• laparoendoscopic surgery
• less invasive surgery
• radical prostatectomy
• two-port laparoendoscopic approach

The aim of this study was to describe the surgical technique and to report the early outcomes of an original extraperitoneal two-port laparoendoscopic approach for radical prostatectomy. A total of 22 consecutive patients diagnosed with early-stage prostate cancer (cT1c, cT2N0) were operated on and included in this analysis. A multichannel port with three 5-mm trocars, providing easier instrument handling, was inserted extraperitoneally through a 2.5-cm lower umbilical U incision. An additional 12-mm port was inserted into the left fossa to allow an adequate working angle to facilitate the most critical steps of the surgical procedures. The operation was successfully completed in all patients; one patient required an additional 5-mm port to control bleeding. The median operation time was 259min (range 207-453min), and the fluid loss, including urine and blood, was 946mL (range 257-1821mL). The median Foley catheter indwelling period was 6days (range 3-11days) after surgery. No intraoperative complications occurred. Judging from this initial trial, this procedure can be safely carried out if the surgeon is familiar with conventional five-port laparoscopic radical prostatectomy.

• 出版日期2013-7