METHOD OF MONOPORT LAPAROSCOPIC RADICAL TREATMENT OF LOCALIZED PROSTATE CANCER Russian patent published in 2019 - IPC A61B17/94 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to urology. Transumbilical incision of 2–2.5 cm is performed. Abdominal cavity is accessed in layers. Access is used to install a five-channel port through which a laparoscope is delivered into the abdominal cavity. That is followed by laparoscopic examination of all abdominal parts, then lymph node dissection to bifurcation of iliac vessels on both sides. On the right and left of the prostate, a pelvic fascia is opened and prostate lateral walls are separated. Puboprostatic ligaments are marked and an ultrasonic transection of a dorsal complex is performed by means of an ultrasound dissector. Prostate is dissected from urinary bladder. Seminal vesicles are separated and seed ducts cross. Thereafter, the prostate is distally dissected from the urethra and separated from the Denonvilliers' fascia. Prostate and seminal vesicles are removed by single unit in container through central port access. Anastomosis is created between the bladder and urethra with interrupted sutures using Polisorb threads. Profiled urethral Foley 18Ch catheter is inserted. Cylinder is blown up to 10 ml. Anastomotic tightness is monitored. PVC drain tube is inserted into an operation area. Tools and monoport are removed. Sutures are applied to skin, then aseptic dressing.

EFFECT: method enables reducing the number and severity of complications and recurrences of the disease, improving quality of life in the postoperative period.

1 cl, 1 ex