Laparoscopic nephroureterectomy with bladder-cuff resection of upper urinary tract carcinoma: techniques and outcomes
10.3760/cma.j.issn.1000-6702.2010.09.004
- VernacularTitle:后腹腔镜下肾输尿管切除加经尿道膀胱袖状切除治疗上尿路上皮癌
- Author:
Quanzong MAO
;
Hanzhong LI
;
Shi RONG
;
Xuebin ZHANG
;
Zhigang JI
;
He XIAO
;
Guanghua LIU
;
Huijun WANG
;
Weifeng XU
- Publication Type:Journal Article
- Keywords:
Carcinoma,transitional cell;
Urologic neoplasms;
Laparoscopic surgical procedures
- From:
Chinese Journal of Urology
2010;31(9):588-590
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of laparoscopic nephroureterectomy with bladder-cuff resection by TUR for upper urinary tract carcinoma. Methods Eighty-two patients with upper urinary tract transitional cell carcinoma(69 cases in renal pelvis and 13 in ureter)underwent retroperitoneal laparoscopic nephroureterectomy and bladder-cuff resection by TUR. This group of cases was retrospectively summarized including operative time, blood loss, drainage mounting days, catheterizing days, post-operative complications and hospital stays. Results All 82 operation procedures were successfully performed without severe complication. The mean operative time was 135 minutes.The mean length of hospital stay was 7 days postoperatively. The mean time with drainage and Foley catheter were 3 days and 6 days respectively. Follow-up time ranged from 6 to 76 months for 74 patients. The 3-year carcinoma recurrence was 10.6% (5/47). Only 1 patient was found incision tumor recurrence in 8 month after the procedure. Conclusion Retroperitoneoscopic nephroureterectomy with bladder cuff resection by TUR could be a feasible procedure to treat upper urinary tract transitional cell carcinoma.
