Segmental ureteroileal conduit resection forthe treatment ofdistal upper urinary tract recurrence ofbladder cancer following cystectomy
10.1186/s40880-015-0077-8
- Author:
ShuXiongZeng
1
;
XinLu
;
WeiDongXu
;
ZhenShengZhang
;
HaiHangLi
;
YingHaoSun
;
Xu ChuanLiang AND
Author Information
1. Department of Urology
- Keywords:
Cystectomy;
Urothelial carcinoma;
Upper urinary tract recurrence;
Segmental resection
- From:Chinese Journal of Cancer
2016;35(3):150-155
- CountryChina
- Language:Chinese
-
Abstract:
Segmental ureterectomy is less invasive than radical nephroureterectomy and results in nephron preservation and satisfactory tumor control. This study was to determine the feasibility of segmental ureteroileal conduit resection (SUICR) for patients with distal upper urinary tract recurrence of bladder cancer following radical cystectomy. Four patients with high?grade distal upper urinary tract recurrence underwent SUICR 15–108months after radical cystec?tomy. The surgical technique details of SUICR, operative results, and follow?up outcomes are reported. The median operation time was 280min, and estimated blood loss was less than 100mL. One patient suffered from ileus 5days after surgery and was managed conservatively. Histopathologic evaluation showed high?grade stages pTa?pT1 diseases for these patients, and ureteral margins were all negative. No patient suffered from tumor recurrence, with a median follow?up of 39months. SUICR preserved the ipsilateral renal unit and conformed to oncological principles during surgery. The oncological outcome was satisfactory for these properly selected patients. This technique pro?vides a valid alternative to nephroureterectomy for patients with imperative indications and high?grade upper urinary tract recurrence of bladder cancer following radical cystectomy.
