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

Abstract

Background This 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. Methods From January 2017 to November 2020, 100 patients underwent LRC + ONB at a third-level grade A hospital. Results Our 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). Conclusions The three-port method is safe and feasible for patients suitable for traditional five-port LRC with an orthotopic neobladder.

Comparative analysis of wound healing techniques in postoperative bladder cancer patients

“…Patients with bladder cancer experience pivotal juncture in their road to recovery and rehabilitation during the postoperative phase. Bladder cancer, which ranks 9th in global incidence, requires variety of surgical procedures, spanning from minimally invasive methods to more extensive operations such as cystectomy 1–3 . Although surgical procedures are crucial for disease management and potential cures, they inevitably impose substantial physiological strain on the patient, most notably manifested as the formation and intricacy of wound healing 4 …”

“…Bladder cancer, which ranks 9th in global incidence, requires variety of surgical procedures, spanning from minimally invasive methods to more extensive operations such as cystectomy. [1][2][3] Although surgical procedures are crucial for disease management and potential cures, they inevitably impose substantial physiological strain on the patient, most notably manifested as the formation and intricacy of wound healing. 4 It is impossible to exaggerate the complexity of surgical wounds in patients with bladder cancer.…”