Single position transabdominal and extraperitoneal laparoscopic radical nephroureterectomy in the treatment of upper tract urothelial carcinoma
- VernacularTitle:单一体位腹膜内外联合腹腔镜UTUC根治术的临床效果及安全性
- Author:
Xueyu LI
1
;
Kai ZHAO
1
;
Zongliang ZHANG
1
;
Xinbao YIN
1
;
Zhenlin WANG
1
;
Guanqun ZHU
1
;
Yulian ZHANG
2
;
Han YANG
1
;
Zhaofeng LI
1
;
Qinglei WANG
1
;
Zaiqing JIANG
1
;
Ke WANG
1
Author Information
- Publication Type:Journal Article
- Keywords: upper tract urothelial carcinoma; laparoscopy; nephroureterectomy
- From: Journal of Modern Urology 2023;28(5):429-432
- CountryChina
- Language:Chinese
- Abstract: 【Objective】 To investigate the efficacy and safety of single position transabdominal and extraperitoneal laparoscopic radical nephroureterectomy in the treatment of upper tract urothelial carcinoma (UTUC). 【Methods】 Clinical data of 31 UTUC cases treated in our hospital during Nov.2018 and Jun.2022 were retrospectively analyzed, including 11 tumors in the right side, and 20 in left side. There were 14 cases of renal pelvic carcinoma, 16 cases of ureter carcinoma, and 1 case of renal pelvic carcinoma plus ureter carcinoma. 【Results】 All surgeries were successfully performed without conversion to open surgery. The mean operation time was (81.45±19.80) min, and the estimated blood loss was (69.03±24.13) mL. No serious perioperative complications were observed. The average postoperative hospital stay was (6.13±2.44) d, and the median follow-up was 28 (3.0-49.0) months. At the last follow-up, 2 patients died, 3 had recurrence, but no contralateral recurrence was observed. 【Conclusion】 Single position transabdominal and extraperitoneal laparoscopic radical nephroureterectomy is safe, effective and feasible in the treatment of UTUC. It is worth clinical popularization.
