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学科主题: 临床医学
题名:
Retroperitoneal Laparoscopic Nephroureterectomy With Bladder Cuff Excision for Native Upper Tract Transitional Cell Carcinoma Ipsilateral to a Transplanted Kidney
作者: Ye, Jianfei; Ma, Lulin; Huang, Yi; Hou, Xiaofei; Xiao, Chunlei; Zhao, Lei; Wang, Guoliang; Hong, Kai; Lu, Jian
刊名: UROLOGY
发表日期: 2010-12-01
DOI: 10.1016/j.urology.2010.01.022
卷: 76, 期:6, 页:1395-1399
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
关键词[WOS]: WASHINGTON-UNIVERSITY EXPERIENCE ; UPPER URINARY-TRACT ; SINGLE-CENTER EXPERIENCE ; DISTAL URETER ; CANCER ; MANAGEMENT ; RECIPIENTS ; TRANSPERITONEAL ; NEPHRECTOMY ; RECURRENCE
英文摘要:

OBJECTIVES We present preliminary experience of retroperitoneal laparoscopic nephroureterectomy (RPLNU) with bladder cuff excision by combining cystoscopic resection with open transperitoneal dissection for native upper urinary tract transitional cell carcinoma (UUT-TCC) ipsilateral to a transplanted kidney.

METHODS Thirteen renal recipients with native UUT-TCC ipsilateral to a transplanted kidney were operated on with RPLNU between November 2005 and August 2008. Retroperitoneal laparoscopic nephrectomy was performed first and followed by cystoscopic excision of ipsilateral ureteral orifice with bladder cuff. A 6-cm midline lower abdominal incision was made. The distal ureter was dissected transperitoneally into the intramural segment, and the intact specimen was removed manually via the same incision. The cystostomy was generally not sutured.

RESULTS The mean operation time was 264 minutes. The mean estimated blood loss was 256 mL. Three patients needed blood transfusion. No open conversion was required. Two patients experienced minor complications. Pathologic findings confirmed UUT-TCC in all patients with 8 of the pelvis and 7 of the ureter. Four were involved with bladder TCC. With the mean follow-up of 30 months, none of the patients developed retroperitoneal recurrence or distant metastasis, 2 of the 4 patients with bladder TCC had recurrence in the bladder, and 2 had contralateral UUT-TCC after the first unilateral nephroureterectomy.

CONCLUSIONS RPLNU with bladder cuff excision by combining cystoscopic resection with open transperitoneal dissection might be a safe and feasible alternative for native UUT-TCC ipsilateral to a transplanted kidney with acceptable oncological outcomes. UROLOGY 76: 1395-1399, 2010. (C) 2010 Elsevier Inc.

语种: 英语
WOS记录号: WOS:000284940400038
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57195
Appears in Collections:北京大学第三临床医学院_泌尿外科_期刊论文

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作者单位: Peking Univ, Dept Urol, Hosp 3, Beijing 100191, Peoples R China

Recommended Citation:
Ye, Jianfei,Ma, Lulin,Huang, Yi,et al. Retroperitoneal Laparoscopic Nephroureterectomy With Bladder Cuff Excision for Native Upper Tract Transitional Cell Carcinoma Ipsilateral to a Transplanted Kidney[J]. UROLOGY,2010,76(6):1395-1399.
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