Oncological Control Following Laparoscopic Nephroureterectomy: 7-Year Outcome

Abstract

In conclusion, the UK urological community has embraced the need for laparoscopic urology, and looks forward to a proper training programme for its junior colleagues. We look to those charged with providing it to do so with haste. REFERENCES 1 Clayman RV, Kavoussi LR, Soper NJ et al.

Bladder recurrence of upper urinary tract cancer after laparoscopic surgery

“…With respect to the recurrence of bladder tumors, which has been reported to appear in about 20-40% of cases [1,4,5], it remains unclear whether the high pressures used in laparoscopic surgery contribute to the flow of cancer cells into the lower urinary tract resulting in bladder recurrence [7][8][9][10][11][12][13]. Thus far, several risk factors such as tumor multiplicity and low pT stage have been reported [14,15], but these results were based on the data obtained by open surgery.…”

“…Recurrence of bladder tumors has been observed in 20-40% of cases with upper urinary tract cancers [1,4,5,9,[14][15][16]. In the ''pre-laparoscopic era'', risk factors reported for bladder recurrence included low pT stage and tumor multiplicity [14,15].…”

“…Only a few published papers have addressed this issue. Some papers showed the frequency of recurrence did not differ between open and laparoscopic surgery [5,9], while in another paper laparoscopic surgery was cited as a risk factor [17].…”

“…The advantages and merits of laparoscopic surgery are: less blood loss during surgery, less pain after surgery, and a shorter hospital stay [1][2][3]. Cause-specific survival following laparoscopic surgery is similar to that of open surgery [4][5][6].…”

Laparoscopic Nephroureterectomy: Oncologic Outcomes

“…Bariol et al (2004) evaluated 25 patients who underwent LNU and 42 who underwent ONU for TCC in a median follow-up of 101 and 96 months, respectively [19]. Local and bladder recurrence rates were 28% (7 patients) for LNU and 42% (15 patients) for ONU while more ureteral tumors were described in ONU.…”