Oblique supine one-piece posterior laparoscopic total nephroureterectomy plus cystic sleeve resection in the treatment of 24 cases of upper urinary tract uroepithelial carcinoma
- VernacularTitle:斜仰卧一体位后腹腔镜肾输尿管全长加膀胱袖状切除术治疗24例上尿路尿路上皮癌报告
- Author:
Xuechuan YAN
1
;
Kai ZHAO
2
;
Zongliang ZHANG
2
;
Xinbao YIN
2
;
Zhenlin WANG
2
;
Guanqun ZHU
2
;
Yulian ZHANG
3
;
Xueyu LI
2
;
Han YANG
2
;
Zhaofeng LI
2
;
Qinglei WANG
2
;
Zaiqing JIANG
2
;
Ke WANG
2
Author Information
- Publication Type:Journal Article
- Keywords: oblique supine; one-piece position; posterior laparoscopic; upper urinary tract uroepithelial carcinoma; total nephroureterectomy; cystic sleeve resection
- From: Journal of Modern Urology 2023;28(11):976-979
- CountryChina
- Language:Chinese
- Abstract: 【Objective】 To explore the safety and efficacy of a modified one-piece posterior laparoscopic total nephroureterectomy with cystic sleeve resection in the treatment of upper urinary tract uroepithelial carcinoma (UTUC). 【Methods】 A total of 24 patients treated during Jan. and Jun. 2022 were involved, including 16 males and 8 females, aged 62 to 90 (average 73) years. The UTUC was in the left side in 15 cases, and in the right side in 9 cases. There were 10 cases of renal pelvis tumor, 6 cases of upper ureteral tumor and 8 cases of lower ureteral tumor. 【Results】 All operations were successful without conversion to open surgery. The operation time ranged from 60 to 100 minutes, average (71.25±9.80) minutes. The intraoperative bleeding volume was 20 to 200 mL, average (30.03±8.13) mL. No significant intraoperative or postoperative complications occurred. The postoperative hospital stay was 4 to 7 days, average (5.83±1.44) days. Bladder perfusion chemotherapy was performed after surgery. 【Conclusion】 The modified one-piece posterior laparoscopic total nephroureterectomy plus cystic sleeve resection for UTUC is an effective and feasible procedure with satisfactory tumor control, which is worth further promotion in clinical practice.
