Investigation of low and moderate stage upper urinary tumor with and without concomitant bladder cuff resection
10.3760/cma.j.issn.1000-6702.2010.12.015
- VernacularTitle:低分期上尿路上皮癌根治手术不加膀胱袖状切除的可行性分析
- Author:
Shijun LIU
;
Xiaowei ZHANG
;
Jiaqi YUAN
;
Haiyun YE
;
Xiaofeng WANG
- Publication Type:Journal Article
- Keywords:
Tumors of the upper urinary tract;
Tumor staging;
Bladder cuff resection;
Prognosis
- From:
Chinese Journal of Urology
2010;31(12):835-838
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the necessity of concomitant bladder cuff and the possibility of distal ureter sparing surgery during radical nephroureterectomy of low-level upper urinary tract tumors. Methods Clinical data of 73 patients with low-level (Tis-T3 M0 N0 ) tumors of the proximal upper urinary transitional epithelial cancer treated in radical nephroureterectomy in our hospital from 2000 to 2007 were analyzed retrospectively. The medical charts and pathologic specimens of 35 patients with, and 38 patients without, concomitant bladder cuff were reviewed. Results In the 35 patients with concomitant bladder cuff resection, 8 cases (22.9%) recurrence was observed; in the 38 patients without concomitant bladder cuff resection, 8 cases (21.1%) recurrence was observed. There was no difference between both groups(P>0.05). In the 19 patients suffered renal pelvis tumors with concomitant bladder cuff resection, 4 cases (21.1%) recurrence was observed; In the 16 patients suffered ureter tumors with concomitant bladder cuff resection, 4 cases (25 %) recurrence was observed.There is no difference between patients of renal pelvis tumors and of ureter tumors with concomitant bladder cuff(P>0.05). In the 27 patients suffered renal pelvis tumors without concomitant bladder cuff resection, 3 cases (11.1 %) recurrence was observed; in the 11 patients suffered ureter tumors with concomitant bladder cuff, 5 cases (45.5%) recurrence was observed. There was significant different between patients of renal pelvis tumors and of ureter tumors without concomitant bladder cuff (P<0. 05). Conclusion Concomitant bladder cuff resection confers a favorable prognosis to the patients with ureter tumors, but not to the patients with renal pelvis tumors.
