Premium
Feasibility of a novel extraperitoneal two‐port laparoendoscopic approach for radical prostatectomy: An initial study
Author(s) -
Nakane Akihiro,
Akita Hidetoshi,
Okamura Takehiko,
Ando Ryosuke,
Kobayashi Takahiro,
Naiki Taku,
Yasui Takahiro,
Kohri Kenjiro
Publication year - 2013
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.12034
Subject(s) - medicine , prostatectomy , port (circuit theory) , laparoscopic radical prostatectomy , surgery , catheter , prostate cancer , stage (stratigraphy) , urology , cancer , electrical engineering , engineering , paleontology , biology
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 259 min (range 207–453 min), and the fluid loss, including urine and blood, was 946 mL (range 257–1821 mL ). The median F oley catheter indwelling period was 6 days (range 3–11 days) 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.