Preliminary experience of laparoscopic radical cystectomy and prostatectomy with three-dimensional laparoscopy

Objective To assess the preliminary experience of laparoscopic radical cystectomy and prostatectomy with three-dimensional(3D)laparoscopy.Methods From Oct.2012 to Jun.2013,46 patients had accepted 3D laparoscopic radical cystectomy for bladder cancer(22 cases)and prostatectomy for prostate cancer(24 cases)in our hospital.The perioperative and follow-up data(operative time,estimated blood loss,complications,post-operative hospital stay,pathological data,oncologic outcome,continence and erectile function)were analyzed.Results All 46 operations were finished uneventfully,without conversion to open or conventional laparoscopic surgery.The mean operative time was 103 min for radical prostatectomies,255 min for radical cystectomies with orthotopic ileal neobladder,the mean estimated blood loss was 82 ml for radical prostatectomies,150 ml for radical cystectomies.Follow-up data showed excellent oncological results and satisfactory functional results.Continence rate after cystectomy is 66.7％ at 3 months and 85.7％ at 6 months postoperatively in daytime,40.0％ and 57.1％ at night respectively.Continence rate after prostatectomy is 79.1％ at 1 month,88.9％ at 3 months and 100.0％ at 6 months postoperatively.Conclusions 3D laparoscopy provides high-quality 3D endoscopic view and facilitates precise manipulation during surgery,resulting in satisfactory oncological and functional outcomes for the pelvic surgeries. Key words: Three-dimensional laparoscopy; Cystectomy; Prostatectomy