Three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study

Abstract Background This study aimed to evaluate the effect of the three-port approach and conventional five-port laparoscopic radical cystectomy (LRC) with an ileal conduit. Methods Eighty-four patients, who were diagnosed with high-risk non-muscle-invasive and muscle-invasive bladder carcinoma and...

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Autores principales:	Zhouting Tuo, Ying Zhang, Jinyou Wang, Huan Zhou, Youlu Lu, Xin Wang, Chao Yang, Dexin Yu, Liangkuan Bi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Three-port Laparoscopic radical cystectomy Bladder cancer Ileal conduit Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/bcb9a60d31b5444ca57f796ef41976c9
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spelling	oai:doaj.org-article:bcb9a60d31b5444ca57f796ef41976c92021-11-21T12:30:58ZThree-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study10.1186/s12894-021-00920-61471-2490https://doaj.org/article/bcb9a60d31b5444ca57f796ef41976c92021-11-01T00:00:00Zhttps://doi.org/10.1186/s12894-021-00920-6https://doaj.org/toc/1471-2490Abstract Background This study aimed to evaluate the effect of the three-port approach and conventional five-port laparoscopic radical cystectomy (LRC) with an ileal conduit. Methods Eighty-four patients, who were diagnosed with high-risk non-muscle-invasive and muscle-invasive bladder carcinoma and underwent LRC with an ileal conduit between January 2018 and April 2020, were retrospectively evaluated. Thirty and fifty-four patients respectively underwent the three-port approach and five-port LRC. Clinical characteristics, pathological data, perioperative outcomes, and follow-up data were analysed. Results There were no differences in perioperatively surgical outcome, including pathology type, prostate adenocarcinoma incidence, tumour staging, and postoperative creatinine levels between the two groups. The operative time (271.3 ± 24.03 vs. 279.57 ± 48.47 min, P = 0.299), estimated blood loss (65 vs. 90 mL, P = 0.352), time to passage of flatus (8 vs. 10 days, P = 0.084), and duration of hospitalisation post-surgery (11 vs. 12 days, P = 0.922) were no clear difference between both groups. Compared with the five-port group, the three-port LRC group was related to lower inpatient costs (12 453 vs. 14 134 $, P = 0.021). Our follow-up results indicated that the rate of postoperative complications, 90-day mortality, and the oncological outcome did not show meaningful differences between these two groups. Conclusions Three-port LRC with an ileal conduit is technically safe and feasible for the treatment of bladder cancer. On comparing the three-port LRC with the five-port LRC, our technique does not increase the rate of short-term and long-term complications and tumour recurrence, but the treatment costs of the former were reduced.Zhouting TuoYing ZhangJinyou WangHuan ZhouYoulu LuXin WangChao YangDexin YuLiangkuan BiBMCarticleThree-portLaparoscopic radical cystectomyBladder cancerIleal conduitDiseases of the genitourinary system. UrologyRC870-923ENBMC Urology, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Three-port Laparoscopic radical cystectomy Bladder cancer Ileal conduit Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Three-port Laparoscopic radical cystectomy Bladder cancer Ileal conduit Diseases of the genitourinary system. Urology RC870-923 Zhouting Tuo Ying Zhang Jinyou Wang Huan Zhou Youlu Lu Xin Wang Chao Yang Dexin Yu Liangkuan Bi Three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study
description	Abstract Background This study aimed to evaluate the effect of the three-port approach and conventional five-port laparoscopic radical cystectomy (LRC) with an ileal conduit. Methods Eighty-four patients, who were diagnosed with high-risk non-muscle-invasive and muscle-invasive bladder carcinoma and underwent LRC with an ileal conduit between January 2018 and April 2020, were retrospectively evaluated. Thirty and fifty-four patients respectively underwent the three-port approach and five-port LRC. Clinical characteristics, pathological data, perioperative outcomes, and follow-up data were analysed. Results There were no differences in perioperatively surgical outcome, including pathology type, prostate adenocarcinoma incidence, tumour staging, and postoperative creatinine levels between the two groups. The operative time (271.3 ± 24.03 vs. 279.57 ± 48.47 min, P = 0.299), estimated blood loss (65 vs. 90 mL, P = 0.352), time to passage of flatus (8 vs. 10 days, P = 0.084), and duration of hospitalisation post-surgery (11 vs. 12 days, P = 0.922) were no clear difference between both groups. Compared with the five-port group, the three-port LRC group was related to lower inpatient costs (12 453 vs. 14 134 $, P = 0.021). Our follow-up results indicated that the rate of postoperative complications, 90-day mortality, and the oncological outcome did not show meaningful differences between these two groups. Conclusions Three-port LRC with an ileal conduit is technically safe and feasible for the treatment of bladder cancer. On comparing the three-port LRC with the five-port LRC, our technique does not increase the rate of short-term and long-term complications and tumour recurrence, but the treatment costs of the former were reduced.
format	article
author	Zhouting Tuo Ying Zhang Jinyou Wang Huan Zhou Youlu Lu Xin Wang Chao Yang Dexin Yu Liangkuan Bi
author_facet	Zhouting Tuo Ying Zhang Jinyou Wang Huan Zhou Youlu Lu Xin Wang Chao Yang Dexin Yu Liangkuan Bi
author_sort	Zhouting Tuo
title	Three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study
title_short	Three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study
title_full	Three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study
title_fullStr	Three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study
title_full_unstemmed	Three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study
title_sort	three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/bcb9a60d31b5444ca57f796ef41976c9
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Three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study

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