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

• Published in: World journal of surgical oncology 2023-05, Vol.21 (1), p.160-13, Article 160
• Main Authors: Dai, Shuxin, Liu, Chang, Jiang, Zhiwei, Teng, Xiangyu, Yan, Songbai, Xia, Dian, Tuo, Zhouting, Wang, Xin, Wang, Qi, Bi, Liangkuan
• Format: Article
• Language: English
• Subjects: Analysis; Bladder cancer; Body mass index; Care and treatment; Complications; Cystectomy; Cystectomy - methods; Development and progression; Five-port; Hospitals; Humans; Hydronephrosis; Laparoscopic radical cystectomy; Laparoscopic surgery; Laparoscopy; Laparoscopy - methods; Metastasis; Patient outcomes; Patients; Postoperative; Postoperative period; Prevention; Quality of Life; Retrospective Studies; Risk factors; Surgeons; Surgery; Surgical treatment; Three-port; Treatment Outcome; Urinary Bladder Neoplasms - pathology; Urinary Bladder Neoplasms - surgery; Urology
• ISSN: 1477-7819; 1477-7819
• DOI: 10.1186/s12957-023-03031-8

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