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

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