V11-06: Subcutaneous Abdominal Wall Lift Gasless Laparoscopic Radical Prostatectomy: Initial Experience
To evaluate a subcutaneous abdominal wall lift gasless procedure and its effect on laparoscopic prostatectomy (LRP) for patients with prostate cancer.
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.
The patients’ 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%.
Our initial experience for gasless LRP showed that this procedure was feasible, safe, and effective for patients who could not tolerate the pneumoperitoneum.