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Three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study
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 g...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210304/ https://www.ncbi.nlm.nih.gov/pubmed/37231430 http://dx.doi.org/10.1186/s12957-023-03031-8 |
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author | Dai, Shuxin Liu, Chang Jiang, Zhiwei Teng, Xiangyu Yan, Songbai Xia, Dian Tuo, Zhouting Wang, Xin Wang, Qi Bi, Liangkuan |
author_facet | Dai, Shuxin Liu, Chang Jiang, Zhiwei Teng, Xiangyu Yan, Songbai Xia, Dian Tuo, Zhouting Wang, Xin Wang, Qi Bi, Liangkuan |
author_sort | Dai, Shuxin |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10210304 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-102103042023-05-26 Three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study Dai, Shuxin Liu, Chang Jiang, Zhiwei Teng, Xiangyu Yan, Songbai Xia, Dian Tuo, Zhouting Wang, Xin Wang, Qi Bi, Liangkuan World J Surg Oncol Research 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. BioMed Central 2023-05-25 /pmc/articles/PMC10210304/ /pubmed/37231430 http://dx.doi.org/10.1186/s12957-023-03031-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Dai, Shuxin Liu, Chang Jiang, Zhiwei Teng, Xiangyu Yan, Songbai Xia, Dian Tuo, Zhouting Wang, Xin Wang, Qi Bi, Liangkuan Three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study |
title | Three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study |
title_full | Three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study |
title_fullStr | Three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study |
title_full_unstemmed | Three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study |
title_short | Three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study |
title_sort | three-port approach vs conventional laparoscopic radical cystectomy with orthotopic neobladder: a single-center retrospective study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210304/ https://www.ncbi.nlm.nih.gov/pubmed/37231430 http://dx.doi.org/10.1186/s12957-023-03031-8 |
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