The Ureteral Stump after Nephroureterectomy

Strong, David W.; Pearse, Harper D.; Tank, Edward S.; Hodges, Clarence V.

doi:10.1016/s0022-5347(17)59324-6

Cited by 80 publications

(27 citation statements)

References 10 publications

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“…In 60% of cases, nephrectomy without ureterectomy was performed and average survival was 6 months (17,18). Renal UC has a propensity to recur in the ipsilateral ureter at a rate of 30 to 40% and mandates radical nephroureterectomy (19,20). In one of our patients, with the presumed diagnosis of RCC, the ureter was left in situ.…”

Section: Commentsmentioning

confidence: 85%

The role of liver transplantation techniques in the surgical management of advanced renal urothelial carcinoma with or without inferior vena cava thrombus

et al. 2009

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Purpose: Standard radical nephrectomy for large masses is significantly facilitated by liver transplantation techniques, which have been successfully employed over the last ten years at our institution. Large and locally-advanced urothelial carcinoma of the kidney with or without extension into the inferior vena cava is rare. The purpose of this study was to present the surgical management of large and locally-advanced urothelial tumors arising from the renal pelvis using liver transplantation techniques and to evaluate patient outcome. Materials and Methods: Diagnostic work-up and surgical management of 4 patients with large and locally-advanced renal urothelial carcinoma were retrospectively reviewed. Two out of four patients with urothelial carcinoma presented with inferior vena cava thrombus. Mean tumor size was 11.6 cm. All patients underwent surgery, 2 patients with the presumed diagnosis of renal cell cancer. Liver transplantation techniques were an integral part in all radical nephrectomies. Results: No intraoperative complications and postoperative mortality occurred. Mean operative time was 7.5 hours, estimated blood loss was 1.5 L, and an average of 4.8 units of blood was transfused intraoperatively. Three patients succumbed to cancer recurrence at a mean postoperative time of 6.3 months; 1 patient is still alive 24 months after surgery. Conclusions: Large and locally-advanced renal masses of urothelial origin can be successfully removed by a combination of radical nephrectomy with liver transplantation techniques. Since long-term outcome of such patients has been poor, accurate preoperative diagnosis is essential to consider neoadjuvant treatment and to plan nephroureterectomy.

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Section: Commentsmentioning

confidence: 85%

The role of liver transplantation techniques in the surgical management of advanced renal urothelial carcinoma with or without inferior vena cava thrombus

et al. 2009

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“…One advantage of antegrade pyelography is that it is relatively easy to obtain a complete ureterogram of the affected side in combina tion with retrograde pyelography. Many authors have reported that the recurrence rate in the bladder was between 20 and 40% [1,8], However, they did not mention the relationship between the histo logic form of the primary cancers and the rate of recur rence. In our study, 16 patients (30.2%) out of the two groups had a recurrence in the bladder and were treated with transurethral resection, except for 1 patient Clinical Outcome of Ureteral Cancer Urol Int 1997;58: [13][14][15][16][17][18][19] (group B) who underwent a total cystectomy.…”

Section: Discussionmentioning

confidence: 99%

Trends in Clinical Outcome of Transitional Cell Carcinoma of the Ureter: Have the Results Improved?

Kunimi¹,

Amano²,

Uchibayashi³

et al. 1997

Urol Int

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We divided 53 consecutive patients with transitional cell carcinoma of the ureter into two groups. Group A consisted of patients treated in the 1970s and group B of patients treated in the 1980s. Clinical features and outcomes were compared between the groups. Group B patients saw an increased use of new diagnostic modalities, including antegrade pyelography, computed tomography, and bone scintigraphy. Regional lymphadenectomy was added to the operative routine in group B and combined chemotherapy, using methotrexate, vinblastine, adriamycin and cisplatinum, the most effective regimen at present, was used in 9 patients in group B and no patients in group A. In spite of new diagnostic modalities and treatments, the survival rate for ureteral cancer failed to improve from the 1970s to the 1980s.

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“…The incidence of recurrent carcinoma of the ureteral stump after imcomplete nephroureterectomy for transi tional cell carcinoma of the upper urinary tract ranges from 20 to 58% [10][11][12][13], For this reason complete neph roureterectomy with removal of the intramural segment is considered the treatment of choice for primary tumors of the upper urinary tract.…”

Section: Discussionmentioning

confidence: 99%

Transitional Cell Carcinoma of the Ureteral Stump 13 Years after Nephrectomy for Benign Disease

et al. 1996

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The Ureteral Stump after Nephroureterectomy

Cited by 80 publications

References 10 publications

The role of liver transplantation techniques in the surgical management of advanced renal urothelial carcinoma with or without inferior vena cava thrombus

The role of liver transplantation techniques in the surgical management of advanced renal urothelial carcinoma with or without inferior vena cava thrombus

Trends in Clinical Outcome of Transitional Cell Carcinoma of the Ureter: Have the Results Improved?

Transitional Cell Carcinoma of the Ureteral Stump 13 Years after Nephrectomy for Benign Disease

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