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[Endoscopic ureterectomy].

J G Valdivia Uría1, J A López López, A Bayo Ochoa

  • 1Servicio del Urología, Hospital Clínico Universitario de Zaragoza, España.

Archivos Espanoles De Urologia
|June 1, 1991
PubMed
Summary
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Endoscopic ureterectomy offers a minimally invasive alternative to open surgery for upper tract urothelial carcinoma, achieving comparable results with fewer complications. This technique is effective for select patients requiring ureter removal alongside nephrectomy.

Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Context:

  • Upper tract urothelial carcinoma (UTUC) often requires radical nephroureterectomy.
  • Traditional open surgery for ureterectomy can lead to significant morbidity.
  • Endoscopic techniques offer a less invasive approach to ureter management.

Purpose:

  • To describe the modified Dell'Adami and Breda endoscopic ureterectomy technique.
  • To evaluate the outcomes of this minimally invasive approach for UTUC.
  • To present the authors' experience with 10 cases using this technique.

Summary:

  • The modified endoscopic ureterectomy involves intussuscepting the ureter into the bladder via transurethral traction.
  • A resectoscope is then used to excise the ureter at the ureteral meatus, followed by trigonal horn resection.

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  • This technique was successfully applied in 10 patients with UTUC or other renal pelvis pathologies.
  • Impact:

    • Endoscopic ureterectomy provides results comparable to open surgery but with reduced patient inconvenience and sequelae.
    • The technique is highly satisfactory for patients without prior open surgery or extensive tumor spread.
    • This approach represents a valuable minimally invasive option for managing specific urothelial carcinomas.