Abstract：To investigate the feasibility of gasless laparoscopic radical cystectomy. Methods: One patient with bladder cancer received radical cystectomy and ileum conduit. The non-pneumoperitoneum space was constructed by abdominal wall-lifting. Duration of operation, blood loss, arterial CO2 pressure, electrolyte, and postoperative complications were observed. Results: Laparoscopic radical cystectomy was successfully performed under gasless condition. Operation time including radical cystectomy and standard lymphodectomy was 110 min. The amount of blood loss was 150 mL. Electrolyte and artierial PCO2 were normal according to intraoperative monitoring. The bowel function recovered 3 days postoperaion. Pathologic diagnosis showed urothelial bladder cancer T3N0M0. No complications occurred during the 3 months follow-up postoperation. Conclusions: Gasless laparoscopic radical cystectomy can be successfully performed without pneumoperitoneum complications.
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