MP-08.02: Carcinoma Recurrence Rate after Laparoscopic Nephroureterectomy in Patients Who Undergo Transurethral Incision of the Ureteral Orifice and Open Excision of Bladder Cuff

Zhang, D.; Shen, Hui; LV, Wenhua; Tian, Ye; Li, J.; Hao, Gangyue; Jian-yun, Xiao; Du, Lin

doi:10.1016/j.urology.2009.07.952

Cited by 2 publications

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“…Laparoscopy has extended the range of the methods used in urology for the treatment of upper urinary tract tumors. Nowadays, many laparoscopic centers, including Polish ones, perform resections of the kidney together with the ureter and the ureteral orifice and in selected cases ureterectomies with tumor resection [ 2 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

UROLOGICAL ONCOLOGY Radical and sparing surgical treatment of patients with upper urinary tract transitional cell carcinomas (UUT-TCC ) – preliminary results

Jabłonowski¹,

Kędzierski²,

Sosnowski³

2011

cejurol2/2011

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IntroductionTumors originating from transitional epithelium of the renal pelvis and ureter are infrequent. Their course is asymptomatic at early stages of the disease, and diagnosis and institution of appropriate treatment delayed. The aim of the study is to assess the results of treatment in patients with upper urinary tract transitional cell carcinomas (UUT-TCC).Material and methodsFifteen patients treated in 2005-2010 for UUT-TCC were qualified for the retrospective study. Clinical symptoms, diagnostic methods, tumor location, clinical stage and histopathological characteristics of the tumors were assessed. Then, the instituted treatment and its results were analyzed.ResultsThe average follow-up period was 51 month (range 6-65), UUT-TCC accounted for 6.7% of renal tumors treated. Concurrent treated vesical tumors were observed in 4 (26.7%) patients. Primary UUT-TCC was diagnosed in 10 (66.7%) patients. Radical surgery was performed in 10 (66.7%) patients, whereas 5 (33.3%) underwent sparing operations. Macroscopic hematuria was the predominant clinical symptom. In most cases T2-T3 clinical stage (60.0%) and high-grade (66.7%) were observed. Development of an upper urinary tract tumor after treatment of a vesical tumor was noted in 4 (26.7%) patients. During the follow-up period, urinary bladder carcinomas were diagnosed in 5 (33.3%) patients with primary upper urinary tract tumors.ConclusionsNephroureterectomy remains the standard treatment for UUT-TCC. Organ-sparing surgery is possible in selected patients with low clinical stage and low grade tumors. Patients treated for urinary bladder carcinomas require regular monitoring of the upper urinary tract.

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Section: Introductionmentioning

confidence: 99%

UROLOGICAL ONCOLOGY Radical and sparing surgical treatment of patients with upper urinary tract transitional cell carcinomas (UUT-TCC ) – preliminary results

Jabłonowski¹,

Kędzierski²,

Sosnowski³

2011

cejurol2/2011

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“…Nontumor is regarded as one of the most important principles to treat the UUT-UC. [4][5] Retroperitoneal LNU combined with transurethral electric resection of an ipsilateral bladder cuff could indeed decrease the damage, 6 however, it may fail to decrease tumor metastasis and local recurrence rate, or even increase external bladder planting. We improved the surgical method from electric resection to electric coagulation.…”

mentioning

confidence: 99%

Transurethral Electric Coagulation Combined With Retroperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Urothelial Carcinoma

Wang

Men

et al. 2015

International Surgery

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Retroperitoneal laparoscopic nephroureterectomy (LNU) combined with transurethral electric resection of ipsilateral bladder cuff is widely accepted to treat the upper urinary tract urothelial carcinoma (UUT-UC). To reduce the local recurrence rate, we improved the procedure from electric resection to electric coagulation. From May 2008 to July 2012, of all the 156 retroperitoneal LNU patients, 76 cases (test group) were performed with LNU combined with electric coagulation, and 80 cases (control group) were with electric resection. For the clinical outcomes, the hospital stay in the test group was shorter (5.2 6 2.6 days versus 8.2 6 3.4 days; P , 0.05), and the 1-year tumor recurrence rate was much lower (1.6% versus 13.3%, P , 0.05). There was no difference in operation time and blood loss between groups. Retroperitoneal LNU combined with electric coagulation is technically feasible and safe with lower tumor recurrence rate and shorter hospital stay.

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MP-08.02: Carcinoma Recurrence Rate after Laparoscopic Nephroureterectomy in Patients Who Undergo Transurethral Incision of the Ureteral Orifice and Open Excision of Bladder Cuff

Cited by 2 publications

References 0 publications

UROLOGICAL ONCOLOGY Radical and sparing surgical treatment of patients with upper urinary tract transitional cell carcinomas (UUT-TCC ) – preliminary results

UROLOGICAL ONCOLOGY Radical and sparing surgical treatment of patients with upper urinary tract transitional cell carcinomas (UUT-TCC ) – preliminary results

Transurethral Electric Coagulation Combined With Retroperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Urothelial Carcinoma

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