V05-11: The technique and clinical apply of pelvic re-peritonealization in the ERAS program for patients received laparoscopic radical cystectomy
Laparoscopic radical cystectomy has been widely used by urologists as a minimally invasive treatment for bladder cancer. Delayed bowel function recovery and postoperative ileus are more concerned complications post operation. Our study was aimed to introduce an improved technique of pelvic peritonealization to reduce these complications.
Fifty-five consecutive patients with localized bladder cancer underwent laparoscopic radical cystectomy with or without pelvic peritonealization in our institute between January 2015 and September 2016. The differences in surgery time, estimated blood loss, the time of bowl function recovery, the complications of intestinal and blood vessels injury and incidence of postoperative ileus were analyzed between the two groups.
All the patients were successfully received laparoscopic radical cystectomy with (26 cases) or without (29 cases) pelvic peritonealization. There was no significantly difference in surgery time (P = 0.072), estimated blood loss ((P = 0.717), the incidence of intestinal obstruction (P =0.469) between the two groups. Interestingly, patients received pelvic peritonealization had more rapid bowl function recovery than those did not receive (2.79 d vs. 3.72 d, P=0.001). Besides, the hospitalization stay of patients with peritonealization was also significantly shorter than those without (5.46 d vs. 6.68 d, P = 0.029).
Laparoscopic radical cystectomy with pelvic peritonealization described in the presents study had comparable perioperative complications, but was associated with rapid gastrointestinal recovery and short hospitalization stay.