Presentation Authors: Bin Xu, Shuqiu Chen, Jianping Wu, Lijie Zhang, Yiduo Wang, Ming Chen*, Nanjing, China, People's Republic of
Introduction: To evaluate a subcutaneous abdominal wall lift gasless procedure and its effect on laparoscopic prostatectomy (LRP) for patients with prostate cancer.
Methods: Between March and May 2018, a total of 10 patients with localized prostate cancer underwent gasless LRP. Patient demographics and operative outcomes were analyzed prospectively.
Results: The patientsâ€™ ages ranged from 58 to 78 years (mean, 72 years) and their BMIs ranged from 19 to 25 kg/m2 (mean, 21 kg/m2). Their prostate-specific antigen (PSA) ranged from 6 to 40 ng/mL. There were 3 patients with a Gleason score below 7, 5 with a score of 7, and 2 with a score above 7. Eight patients were in the T2 stage and 2 in T3 stage, but none had lymph node or other distinct metastases. As to other illnesses, 5 patients had hypertension, 5 had diabetes mellitus, 3 had ischemic heart disease, and 4 had chronic obstructive pulmonary disease. Facts regarding surgery include a median operative time of approximately 90 minutes; median blood loss of 300 mL; no blood transfusions; median hospital stay, 5 days; immediate postoperative urinary continence rate, 30%; and 1-month urinary continence rate, 100%.
Conclusions: Our initial experience for gasless LRP showed that this procedure was feasible, safe, and effective for patients who could not tolerate the pneumoperitoneum.