Preparation of the surgical place for laparoscopic procedure of the prostate gland tumors

Khussan Umurzakov 1, Dilyara Kaydarova 1, Gulnar Shalgumbayeva 2 * , Atkhamzhan Khaitmat 3, Sayan Sagidullin 4, Askar Ibraev 3
More Detail
1 Center of Oncourology, Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan
2 Family Medicine Department, Semey Medical University, Semey, Kazakhstan
3 Department of Oncourology and Elective Surgery, East Kazakhstan Region Multi-profile Center of Oncology and Surgery, Oskemen, Kazakhstan
4 Oncology Department, Semey Medical University, Semey, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 19, Issue 6, pp. 79-82. https://doi.org/10.23950/jcmk/12718
OPEN ACCESS 805 Views 671 Downloads
Download Full Text (PDF)

ABSTRACT

Aim: The purpose of this study to present the upgrading method of laparoscopic procedure of prostate cancer.
Material and methods: This work was made as part of the PhD dissertation. This technique could be recommended for treatment of the prostate gland tumors. The Patent of the Republic of Kazakhstan №35437 was received on 31.12.2021   
Results: The laparoscopic procedure for both methods are the same, there is some upgrading of traditional method by proposing improvements of trocars insertion. During traditional method four working trocars are installed extraperitoneal under the control of optics. We recommend four working trocars are installed under the control of the index finger, palpating the lower epigastric vessels from the inside; it is avoid to damage of the peritoneum, injection of gas into the abdominal space, damage of the vessels of the pelvis.
Conclusion: The method allows avoiding bleeding, pneumoperitoneum, and decreased saturation; and in the early postoperative period, peritonitis is excluded and the late postoperative period, adhesive processes do not occur.
Keywords: laparoscopic procedure, extraperitoneal radical prostatectomy, prostate cancer, Kazakhstan

CITATION

Umurzakov K, Kaydarova D, Shalgumbayeva G, Khaitmat A, Sagidullin S, Ibraev A. Preparation of the surgical place for laparoscopic procedure of the prostate gland tumors. J CLIN MED KAZ. 2022;19(6):79-82. https://doi.org/10.23950/jcmk/12718

REFERENCES

  • Schuessler WW, Schulam PG, Clayman RV, Kavoussi LR. Laparoscopic radical prostatectomy: initial short term experience. Urology. 1997; 50:854-857. https://doi.org/10.1016/S0090-4295(97)00543-8
  • Guilloneau B, Vallancien G. Laparoscopic radicalprostatectomy: the Montsouris echnique. J Urol. 2000; 163:1643-1649. https://doi.org/10.1016/S0022-5347(05)67512-X
  • Vallancien G, Cathelineau X, Baumert H, Doublet JD, Guillonneau B. Complications of transperitoneal laparoscopicsurgery in urology: review of 1,311 procedures at a single center. J Urol. 2002; 168:23-26. https://doi.org/10.1016/S0022-5347(05)64823-9
  • Guillonneau B, Rozet F, Cathelineau X, et al. Perioperative complications of laparoscopicradical prostatectomy the Montsouris 3-year experience. J Urol. 2002; 167:51-56. https://doi.org/10.1016/S0022-5347(05)65381-5
  • Raboy A, Ferzli G, Albert P. Initial experience with extraperitoneal endoscope radical retropubic prostatectomy. Urology. 1997; 50:849-853. https://doi.org/10.1016/S0090-4295(97)00485-8
  • Bollens R, Van den Bosche M, Roumeguere T, et al. Extraperitoneal laparoscopic radical prostatectomy: resultsafter 50 cases. Eur Urol. 2001; 40:65-69. https://doi.org/10.1159/000049750
  • Stolzenburg JU, Do M, Pfeiffer H, Konig F, Aedtner B, Dorschner W. The endoscopic extraperitoneal radicalprostatectomy (EERPE): technique and initial experience. World J Urol. 2002; 20: 48-55. https://doi.org/10.1007/s00345-002-0265-4
  • Fornara P, Doehn C, Seyfarth M, Jocham D. Why isurological laparoscopy minimally invasive? Eur Urol. 2000; 37:241-250. https://doi.org/10.1159/000052351
  • Cuss A, B M, Bhatt M. Coming to TermsWith the Fact That the Evidence for Laparoscopic Entry Is as Good as It Gets. JMIG. 2014; 10:23-30
  • Varma R, Gupta J. Laparoscopic entry techniques: clinical guideline, national survey, and medicolegal ramifications. SurgEndosc. 2008; 22:2686-97. https://doi.org/10.1007/s00464-008-9871-6
  • Abdelmaksoud AAAA, Biyani Ch. Laparoscopic approaches in urology. B J U. 2005; 95:244-9. https://doi.org/10.1111/j.1464-410X.2005.05277.x
  • Neudecker J, Sauerland S, Neugebauer E, Bergamaschi R, Bonjer HJ, Cuschieri A, et al. (EAES) The European Association for Endoscopic Surgery clinical practice guideline on the pneumoperitoneum for laparoscopic surgery. Surg Endosc. 2002; 16(7):1121-43. https://doi.org/10.1007/s00464-001-9166-7
  • SAGES. Society of American Gastrointestinal Endoscopic Surgeons (SAGES). SAGES guidelines for diagnostic laparoscopy. Los Angeles (CA): Society of American Gastrointestinal Endoscopic Surgeons (SAGES); 2002; 1:2-9.
  • Pierre F, Chapron C, Deshayes M, Madelenat P, Magnin G, Querleu D. Initial access for laparoscopic gynecologic surgery. French Society of Endoscopic Gynecology, International Society of Pelvic Surgery and the National College of French Gynecologists-Obstetricians. J Gynecol Obstet Biol Reprod (Paris) 2000; 29(1):8-12.
  • Bakkum EA, Timmermans A, Admiraal JF, Brolmann HAM, Jansen FW. Laparoscopic entry techniques: a protocol for daily gynaecological practice in The Netherlands. Gynecol Surg. 2006; 3(2):84-7. https://doi.org/10.1007/s10397-006-0174-4
  • Garry R. Laparoscopic surgery. Best Pract Res Clin Obstet Gynaecol. 2006; 20(1): 89-104. [27] Vilos GA (2006) The ABCs of a safer laparoscopic entry. J Minim Invasive Gynecol. 2006; 13(3):249-51. https://doi.org/10.1016/j.jmig.2005.12.005
  • Varma R, Gupta J. Laparoscopic entry techniques: clinical guideline, national survey, and medicolegal ramifications. SurgEndosc. 2008; 22:2686-97. https://doi.org/10.1007/s00464-008-9871-6
  • Tinelli A. Abdominal Access in Gynaecologic Laparoscopy: A Comparison Between Direct Optical and Open Access. J LaparoendoscAdvSurg Tech A. 2009; 19(4):1-4. https://doi.org/10.1089/lap.2008.0322
  • Vilos G. A. Laparoscopic Entry: A Review of Techniques, Technologies, and Complications. SOGC clinical practice guidline. J ObstetGynaecol Can. 2007; 29(5): 433-47. https://doi.org/10.1016/S1701-2163(16)35496-2
  • Felix WongW. A safe optically guided entry technique using Endopath Xcel Trocars in laparoscopic surgery: A personal series of 821 patients. GMIT. 2013; 2:30e33-30e38. https://doi.org/10.1016/j.gmit.2012.12.006
  • Perepechay V.A., Vasil'yev. Laparoskopicheskaya radikal'naya prostatektomiya (Laparoscopic radical prostatectomy) [in Russian]. Vestnik urologii. 2018; 6(3):57-72.