Efficacy and safety analysis of cutaneous ureterostomy after single port plus one laparoscopic radical cystectomy
Objective:To explore the clinical efficacy and safety between single port plus one laparoscopic sur-gery and traditional laparoscopic radical cystectomy with cutaneous ureterostomy.Methods:The clinical data of 22 patients with bladder cancer who underwent radical cystectomy followed by cutaneous ureterostomy in Third Affil-iated Hospital of Southern Medical University from April 2019 to March 2024 were retrospectively analyzed.The patients were divided into single port plus one laparoscopic and traditional laparoscopic group.Perioperative data,surgical complications,and postoperative follow-up between two groups of these patients were compared and ana-lyzed.Results:All patients were successfully completed the surgery,without conversion to open surgery or perio-perative mortality.There was no statistically significant difference in clinical data between the two groups of pa-tients in terms of age,gender(P＞0.05).The average surgical time for the single port plus one laparoscopic group was(342.0±113.1)min,while the average surgical time for the traditional laparoscopic group was(292.8±63.5)min.The intraoperative blood loss in the single port plus one laparoscopic group was(250.0±141.4)mL,and that in the traditional laparoscopic group was(312.5±143.2)mL.There was no statistically significant difference between the two groups(P＜0.05).The single port plus one laparoscopic group showed bet-ter postoperative VAS pain score,postoperative time to move out of bed,and postoperative incision satisfaction score than the traditional laparoscopic group,with statistical significance(P＜0.05).Conclusion:Single port plus one laparoscopic radical cystectomy with cutaneous ureterostomy is safe and feasible,with fast postoperative re-covery,beautiful incision,and good satisfaction for patients.
single port plus one laparoscopyradical cystectomycutaneous ureterostomy
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