Application of Boari bladder muscle flap surgery in nephron sparing surgery for patients with middle and lower ureteral carcinoma
10.11659/jjssx.12E015145
- VernacularTitle:Boari膀胱肌瓣术在中下段输尿管癌患者保肾手术中的应用
- Author:
Kefu SHA
;
Ying WANG
;
Tiejun LIU
;
Mingjun ZHAO
- Publication Type:Journal Article
- Keywords:
Boari bladder muscle flap surgery;
ureteral carcinoma;
nephron sparing surgery;
renal function
- From:
Journal of Regional Anatomy and Operative Surgery
2016;25(8):606-608,609
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of Boari bladder muscle flap surgery in nephron sparing surgery for patients with middle and lower ureteral carcinoma. Methods Totally 80 patients with middle and lower ureteral carcinoma underwent surgery in our hospital from March 2009 to March 2012 were selected and divided into the control group and the observation group,with 40 cases in each group. Patients of the control group were treated with ureteral carcinoma radical prostatectomy while patients of the observation group were treated with Boari bladder muscle flap surgery,and all of them were followed up for 3 years after operation. Observed the renal function,renal tumor markers and the level of inflammatory symptoms of the 2 groups before the operation and 3 months after the operation,and compared the long-term progno-sis of the 2 groups. Results There was no significant difference between the 2 groups in renal function index before operation. The level of BUN,Scr,blood urea and serum uric acid index in the 2 groups were all increased compared with those before operation,but the increase of the control group was significantly higher with statistically significant differences (P<0. 05). The tumor markers CA19-9, Survivin and in-flammatory marks WBC,NEC%,IL-6,hs-CRP had no significant difference before operation,and all the level of the 2 groups were decreased after operation,but there was still no difference between the 2 groups (P>0. 05). The survival rate 1 year,2 years and 3 years after operation also had no significant difference between the 2 groups (P>0. 05). Conclusion The use of Boari bladder muscle flap surgery in nephron sparing surgery for patients with middle and lower ureteral carcinoma can effectively maintain the renal function of patients without affecting the radical and long-term prognosis.
