Application of different operative approaches for laparoscopic treatment of upper urinary tract transitional cell carcinoma
- VernacularTitle:腹腔镜手术治疗上尿路移行细胞癌不同路径的选择和应用
- Author:
Diandong YANG
;
Zhenli GAO
;
Chunhua LIN
;
Renhui JIANG
;
Yougang FENG
;
Jianming WANG
;
Lin WANG
;
Lei SHI
;
Changping MEN
- Publication Type:Journal Article
- Keywords:
Upper urinary tract transitional cell carcinoma;
Laparoscopic surgery
- From:
Chinese Journal of Urology
2008;(11):759-762
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the different approaches and their indications in the laparo-scopic treatment of upper urinary tract transitional cell carcinoma. Methods 94 patients with upper urinary tract transitional cell carcinoma were divided to two groups. Group A (63 cases) with renal pelvic and ugper ureteral carcinoma were treated with retroperitoneal approach laparoscopic surgery and transurethral reseetoscope surgery. Group B (31 cases) with middle ureteral carcinoma including 6 cases with ureteral local infiltration were treated through 70° recumbent position transperitoneal ap-proach laparoscopic surgery combined with bladder cuff resection. The operative time, blood loss, the intestinal functional recovery time and post-operative complications were recorded. Results All 94 procedures were successfully completed, with no complication during the surgery. The mean operation time of A and B group was 156.5 and 160.8 min;the mean blood loss was 80 and 86 ml; the mean hos-pital stay was 8 and 8. 5 d; the time of bowel functional recovery of group A and group B was 24-48 and 24-72 h, respectively. 84 cases were followed-up with mean follow-up time of 23 months. Three eases and 5 cases were found having bladder tumor in the group A and group B. The incision and port metastasis was not found. Conclusions It is safe and feasible to treat the upper urinary tract transi-tional cell carcinoma laparoscopically. The selection of operating approach is mainly based on the loca-tion and local infiltration status of the tumor.
