{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:49:51Z","timestamp":1761749391147,"version":"build-2065373602"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,8,17]],"date-time":"2017-08-17T00:00:00Z","timestamp":1502928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2018,1]]},"abstract":"\n Objective<\/jats:title>\n \n To describe the surgical technique and report early outcomes of transurethral assisted laparoendoscopic single\u2010site (\n LESS<\/jats:styled-content>\n ) radical prostatectomy (\n RP<\/jats:styled-content>\n ) and\n LESS<\/jats:styled-content>\n radical cystectomy (\n RC<\/jats:styled-content>\n ) in a single institution.\n <\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n \n Between December 2014 and March 2016, a total of 114\n LESS RP<\/jats:styled-content>\n s and\n RC<\/jats:styled-content>\n s were performed, comprising 68\n LESS RP<\/jats:styled-content>\n s, 38\n LESS RC<\/jats:styled-content>\n s with cutaneous ureterostomy (\n CU<\/jats:styled-content>\n ) and eight\n LESS RC<\/jats:styled-content>\n s with orthotopic ileal neobladder (\n OIN<\/jats:styled-content>\n ). Access was achieved via a single\u2010port, with four channels placed through a transumblical incision. After the apex of prostate was separated from the urethra, a self\u2010developed port (\u2018Zhu's port\u2019) was inserted through the urethra to facilitate resection of prostate and urethrovesical anastomosis. The peri\u2010operative and postoperative data were collected and analysed retrospectively. Patients were followed up postoperatively for evidence of long\u2010term side effects.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n All the procedures were completed successfully. No conversion to conventional laparoscopic surgery was necessary. For\n LESS RP<\/jats:styled-content>\n , the average operating time was 152\u00a0min. Estimated blood loss was 117\u00a0mL. The mean hospital stay was 16.4 days after surgery. For\n LESS RC<\/jats:styled-content>\n with\n CU<\/jats:styled-content>\n and\n LESS RC<\/jats:styled-content>\n with\n OIN<\/jats:styled-content>\n , the mean operating times were 215 and 328\u00a0min, mean estimated blood loss was 175 and 252\u00a0mL, and mean hospital stay was 9.4 and 18.2\u00a0days, respectively. Six patients required blood transfusion (5.26%). Intra\u2010operative complications occurred in two patients (1.75%), and postoperative complications in nine (7.89%). Fourteen out of 68 (20.6%) patients who underwent\n LESS RP<\/jats:styled-content>\n had positive surgical margins. Follow\u2010up ranged from 10 to 30.6\u00a0months. In the prostate cancer cases, good urinary control was observed in 35.3%, 97.1% and 100% of patients at 1, 6 and 12\u00a0months after the operation, respectively, while biochemical recurrence was observed in 11.8% patients. In the bladder cancer cases, two patients had local recurrence and two patients had distant metastasis.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Our results showed that\n LESS RP<\/jats:styled-content>\n and\n LESS RC<\/jats:styled-content>\n are feasible and safe with the aid of a transurethral port. Operating through the transurethral port might overcome the challenges posed by the single\u2010port laparoscopic approach.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.13965","type":"journal-article","created":{"date-parts":[[2017,7,22]],"date-time":"2017-07-22T05:08:41Z","timestamp":1500700121000},"page":"111-118","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Transumbilical laparoendoscopic single\u2010site radical prostatectomy and cystectomy with the aid of a transurethral port: a feasibility study"],"prefix":"10.1111","volume":"121","author":[{"given":"Jian","family":"Su","sequence":"first","affiliation":[{"name":"Department of Urology Affiliated Hospital of Nanjing University of Traditional Chinese Medicine Jiangsu Provincial Hospital of Traditional Chinese Medicine Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9838-6455","authenticated-orcid":false,"given":"Qingyi","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Urology Affiliated Hospital of Nanjing University of Traditional Chinese Medicine Jiangsu Provincial Hospital of Traditional Chinese Medicine Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Urology Affiliated Hospital of Nanjing University of Traditional Chinese Medicine Jiangsu Provincial Hospital of Traditional Chinese Medicine Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology Affiliated Hospital of Nanjing University of Traditional Chinese Medicine Jiangsu Provincial Hospital of Traditional Chinese Medicine Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingling","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology Affiliated Hospital of Nanjing University of Traditional Chinese Medicine Jiangsu Provincial Hospital of Traditional Chinese Medicine Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunfei","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Urology Affiliated Hospital of Nanjing University of Traditional Chinese Medicine Jiangsu Provincial Hospital of Traditional Chinese Medicine Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,8,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000055141.36916.be"},{"key":"e_1_2_6_3_1","first-page":"508","article-title":"Laparoscopic radical cystectomy. 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