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学科主题: 临床医学
题名:
Total endoscopic nephroureterectomy for native kidney ipsilateral to transplanted kidney
作者: Hou Xiao-fei; Bi Hai; Ma Lu-lin; Zhao Lei; Wang Guo-liang
关键词: kidney transplantation ; urinary tract ; urothelial carcinoma ; nephroureterectomy ; endoscopic surgery
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2012-11-05
DOI: 10.3760/cma.j.issn.0366-6999.2012.21.015
卷: 125, 期:21, 页:3827-3830
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: TRANSITIONAL-CELL CARCINOMA ; LAPAROSCOPIC NEPHROURETERECTOMY ; UROTHELIAL CARCINOMA ; BLADDER CUFF ; TRANSPERITONEAL ; NEPHRECTOMY ; RECIPIENTS ; EXCISION ; OUTCOMES
英文摘要:

Background From limited exposure with management of the native distal ureter ipsilateral to the transplanted kidney, we usually choose open nephroureterectomy (NU) or laparoscopic NU combined with an open approach in renal transplant (RTx) recipients. We herein describe our preliminary experience with total endoscopic NU with bladder cuff (BC) excision and evaluate its feasibility for RTx recipients.

Methods From August 2008 to June 2011, eight RTx recipients underwent total endoscopic NU with BC excision for clinically presumed native upper urinary tract urothelial carcinoma (UUT-UC) ipsilateral to the transplanted kidney. Cystoscopic circumferential excision of the ipsilateral ureteral orifice with BC was followed by retroperitoneal laparoscopic NU using early ureteral ligation without primary BC closure. The intact specimen was removed through a 3-cm flank incision (an enlarged trocar site). Perioperative and pathological data and oncological outcomes were collected and analyzed.

Results All endoscopic procedures were completed successfully without major complications and with open conversion. The mean estimated blood loss was 100 ml with no blood transfusion. The mean operating room time was 234.8 minutes, mean time to ambulation was 2.6 days, and mean hospital stay was 9.0 days. Pathological findings confirmed UUT-UC in seven recipients, two with bladder UC. During the mean 25.2-month follow-up, none of the recipients developed recurrence, while two developed contralateral UUT-UC after the first NU.

Conclusion Total endoscopic NU with BC excision is technically feasible and safe for RTx recipients. Chin Med J 2012;125(21):3827-3830

语种: 英语
WOS记录号: WOS:000311265200015
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/61945
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, Hosp 3, Dept Urol, Beijing 100191, Peoples R China

Recommended Citation:
Hou Xiao-fei,Bi Hai,Ma Lu-lin,et al. Total endoscopic nephroureterectomy for native kidney ipsilateral to transplanted kidney[J]. CHINESE MEDICAL JOURNAL,2012,125(21):3827-3830.
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