Clinical analysis of retroperitoneal and transperitoneal laparoscopic radical nephroure-terectomy for upper urinary tract urothelial carcinoma
10.3969/j.issn.1000-8179.2019.03.238
- VernacularTitle:经腹膜后与经腹腹腔镜对治疗上尿路尿路上皮癌的临床应用分析
- Author:
Gaoliang CHEN
1
,
2
;
Xiang LI
;
Qiang WEI
;
Hao ZENG
Author Information
1. 四川大学华西医院泌尿外科(成都市610041)
2. 重庆市人民医院泌尿外科
- Keywords:
laparoscopy;
renalpelvis carcinoma;
ureteral carcinoma;
nephroureterectomy
- From:
Chinese Journal of Clinical Oncology
2019;46(3):130-132
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the clinical effects of retroperitoneal and transperitoneal laparoscopic radical nephroureterectomy for upper urinary tract urothelial carcinoma. Methods: We trospectively analyzed the clinical data of 85 patients with upper urinary tract urothelial carcinoma (UTUC) who underwent laparoscopic radical nephroureterectomy in West China Hospital, Sichuan Universi-ty, from January 2012 to December 2016. Forty-nine patients (Group A) underwent retroperitoneal laparoscopic radical nephroureter-ectomy while 36 (Group B) underwent transperitoneal laparoscopic radical nephroureterectomy. Operative time, blood loss volume, time of incision drainage, catheterization time, recovery time of postoperative intestinal function, postoperative hospitalization time, operative complications, postoperative local recurrence, and distant metastasis were compared between the two groups. Results: All operations were successfully performed. Mean operative time was (126.9 ± 11.6) min in Group A, while it was (109.9 ± 14.7) min in Group B; thus, mean operative time was significantly shorter in Group B than in Group A (P<0.05). Mean blood loss volume was (108.5±24.1) mL in Group A, while it was (95.1±19.9) mL in Group B; thus, mean blood loss volume was significantly lower in Group B than in Group A (P<0.05). Mean recovery time of postoperative intestinal function was (1.8±0.5) days in Group A, while it was (2.3± 0.4) days in Group B; thus, mean recovery time of postoperative intestinal function was significantly longer in Group B than in Group A (P<0.05). The other evaluated indicators did not differ significantly between the two groups. Conclusions: Both retroperitoneal and transperitoneal laparoscopic radical nephroureterectomy are safe and effective as minimally invasive treatment for upper UTUC.
