Comparative analysis of operation modes for treating native renal pelvic and ureteral neoplasms occurring at the same side of transplanted kidney
10.3760/cma.j.issn.0254-1785.2014.12.003
- VernacularTitle:治疗与移植肾同侧的自体肾盂输尿管肿瘤术式的对比分析
- Author:
Lei LIANG
;
Yuwen GUO
;
Ye TIAN
;
Yichen ZHU
;
Jing XIAO
- Publication Type:Journal Article
- Keywords:
Urologic neoplasms;
Kidney transplantation;
Laparoscopy
- From:
Chinese Journal of Organ Transplantation
2014;35(12):715-718
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the different operation modes for treating native renal pelvic and ureteral neoplasms occurring at the same side of transplanted kidney.Method A retrospective analysis was performed on 48 cases of native renal pelvic and ureteral neoplasms occurring at the same side of transplanted kidney,including 14 cases receiving open surgery (open surgery),22 cases receiving laparoscopic radical nephroureterectomy with bladder cuff resection through a lower abdomen oblique incision (oblique incision group) and 12 cases receiving modified endoscope assisted Plunk technique (Plunk group).The operating time,amount of bleeding and blood transfusion during operation,recovery of intestinal function,time of indwelling drainage tube and wound suture,the total cost of hospitalization,the hospital stay and the incidence of complications were comparatively analyzed.Result The operating time in open group was shortest.Group of Pluck is better than other groups in the aspects of Time of wound suture and intestinal function time in shorter in Plunk group than the rest two group (P＜0.05),and amount of bleeding and incidence of complication in Plunk group were higher than oblique incision group (P＜0.05).The incidence of complications and amount of bleeding were decreased significantly as compared with the rest groups (P＜0.05).Conclusion The mode of the laparoscopic radical nephroureterectomy with bladder cuff resection through a lower abdomen oblique incision has the advantages of high security,minimal invasion and satisfactory treatment effect.It is especially suitable for treating native renal pelvic and ureteral neoplasms occurring at the same side of transplanted kidney.
