Preliminary experience of gasless laparoscopic radical cystectomy
10.3969/j.issn.1009-8291.2025.10.009
- VernacularTitle:免气腹腹腔镜膀胱根治性切除术的初步经验
- Author:
Yuchen XU
1
;
Hanjiang XU
1
;
Haoqiang SHI
1
;
Chaozhao LIANG
1
Author Information
1. 安徽医科大学第一附属医院泌尿外科,安徽医科大学泌尿外科研究所,泌尿男科疾病研究与医学转化安徽省重点实验室,安徽 合肥 230000
- Publication Type:Journal Article
- Keywords:
gasless technique;
laparoscopy;
radical cystectomy;
abdominal wall lifting technique
- From:
Journal of Modern Urology
2025;30(10):865-868
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the technical procedures and preliminary experience of gasless laparoscopic radical cystectomy,and to evaluate its technical feasibility,safety and clinical effects.Methods A retrospective analysis was conducted on 5 patients undergoing gasless laparoscopic radical cystectomy in our hospital during May 2024 and Mar.2025.The clinical and pathological data,operation time,blood loss,intraoperative arterial PCO2 and hemoglobin level,postoperative recovery and complications were collected and analyzed.Results By using the abdominal wall lifting technique to establish the operating space of the lower abdomen without pneumoperitoneum,all operations were successfully completed,with no conversion to pneumoperitoneum surgery or open surgery.The operation time was 154-200 minutes,and the intestinal function recovered 2.4(2-3)days after the operation.No severe complication was observed perioperatively.During up to 6-month follow-up,no ileus,thrombosis,tumor recurrence or metastasis were observed.Condusion Our preliminary experience shows that gasless laparoscopic radical cystectomy is safe and feasible for selected patients and may reduce the incidence of pneumoperitoneum-related complications.
