Laparoscopic radical nephroureterectomy for transitional cell carcinoma: where are we in 2007?

Busby, J. Erik; Matin, Surena F.

doi:10.1097/mou.0b013e32802b7081

Cited by 14 publications

(2 citation statements)

References 32 publications

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“…Nephroureterectomy with the removal of the bladder cuff, mainly comprising open nephroureterectomy (ONU) and laparoscopic nephroureterectomy (LNU), is currently the ‘gold standard’ treatment for upper tract TCC [1–3]. LNU has been performed increasingly for surgically treating upper tract urothelial cancer because it is minimally invasive, safe and effective [4,5]. LNU has also been reported to be equivalent to ONU in margin‐free rates, rates of local recurrence and metastases and cancer‐specific survival rates after surgery [6,7]; however, controversy still exists about the best method for managing the distal ureter and bladder cuff during the laparoscopic approach.…”

Section: Introductionmentioning

confidence: 99%

A one‐port pneumovesicum method in en bloc laparoscopic nephroureterectomy with bladder cuff resection is feasible and safe for upper tract transitional cell carcinoma

et al. 2011

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CO 2 insufflation. Dissection was performed circumferentially through the entire detrusor muscle to disconnect the ureter from the bladder wall. A 10-mm trocar was placed into the bladder above the pubic bone. The distal ureter was occluded using a Hem-o-lok clip and pushed out of the bladder. Laparoscopic nephroureterectomy was then performed with the patient in the lateral position.• After surgery, all six patients received systemic chemotherapy and follow-up. RESULTS• All procedures were performed successfully.• The median (range) operating time for the complete procedure was 105 (85 -140) min, and the median (range) estimated blood loss was 125 (60 -230) mL.

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Section: Introductionmentioning

confidence: 99%

A one‐port pneumovesicum method in en bloc laparoscopic nephroureterectomy with bladder cuff resection is feasible and safe for upper tract transitional cell carcinoma

et al. 2011

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“…Hattori et al reported a significantly decreased number of lymph nodes removed following LNU (8.2–11.6) as compared to ONU (16.5) [44]. Busby and Matin, however, reported their experience that removal of an equivalent number of nodes could be performed with both laparoscopic and open approaches [58]. …”

Section: Role Of Lymphadenectomymentioning

confidence: 99%

Laparoscopic Nephroureterectomy and Management of the Distal Ureter: A Review of Current Techniques and Outcomes

Viprakasit

Macejko

Nadler

2009

Advances in Urology

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Laparoscopic nephroureterectomy (LNU) is becoming an increasingly common alternative treatment for transitional cell carcinoma (TCC) of the renal pelvis and ureter due to decreased perioperative morbidity, shorter hospitalization, and comparable oncologic control with open nephroureterectomy (ONU). Mobilization of the kidney and proximal ureter may be performed through a transperitoneal, retroperitoneal, or hand-assisted approach. Each technique is associated with its own benefits and limitations, and the optimal approach is often dictated by surgeon preference. Our analysis of the literature reflects equivalent cancer control between LPN and OPN at intermediate follow-up with significantly improved perioperative morbidity following LPN. Several methods for bladder cuff excision have been advocated, however, no individual technique for management of the distal ureter proved superior. Overall, complete en-bloc resection with minimal disruption of the urinary tract should be optimized to maintain oncologic outcomes. Longer follow-up and prospective studies are needed to fully evaluate these techniques.

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Surgical management for upper urinary tract transitional cell carcinoma

Prasad

Shelley

Coles

et al. 2011

Cochrane Database of Systematic Reviews

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Laparoscopic radical nephroureterectomy for transitional cell carcinoma: where are we in 2007?

Abstract: Findings over the past 2 years show both the continued progress of LNU and the need for further evolution to optimize patient morbidity and oncologic outcomes. As laparoscopic training is integrated into urologic residency programs, standardizing the variables within LNU will be paramount.

Cited by 14 publications

References 32 publications

A one‐port pneumovesicum method in en bloc laparoscopic nephroureterectomy with bladder cuff resection is feasible and safe for upper tract transitional cell carcinoma

A one‐port pneumovesicum method in en bloc laparoscopic nephroureterectomy with bladder cuff resection is feasible and safe for upper tract transitional cell carcinoma

Laparoscopic Nephroureterectomy and Management of the Distal Ureter: A Review of Current Techniques and Outcomes

Surgical management for upper urinary tract transitional cell carcinoma

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