Laparoscopic nephroureterectomy with concomitant open bladder cuff excision: a single center experience.
Seyed Amir Mohsen Ziaee1, Valiollah Azizi, Akbar Nouralizadeh
1Urology and Nephrology Research Center, Department of Urology and Renal Transplantation, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urology Journal
|December 14, 2012
Summary
Laparoscopic nephroureterectomy with open bladder cuff excision offers a safe and effective treatment for upper urinary tract urothelial carcinoma, achieving excellent survival rates without port site recurrence.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Upper urinary tract urothelial carcinoma (UTUC) requires radical management.
- Minimally invasive techniques are increasingly adopted for UTUC treatment.
Purpose of the Study:
- To evaluate the efficacy of laparoscopic nephroureterectomy and open bladder cuff excision for UTUC.
- To assess oncological outcomes and patient safety.
Main Methods:
- Retrospective study of 22 patients with UTUC.
- Laparoscopic nephroureterectomy combined with open bladder cuff excision.
- Evaluation of operation time, blood loss, complications, recurrence, and survival.
Main Results:
- No port site recurrence observed in the study group.
- High 3-year overall survival (95%) and metastasis-free survival (90%).
- Mean operation time was 216 minutes with a short hospital stay of 4.3 days.
Conclusions:
- Laparoscopic nephroureterectomy with open bladder cuff excision is a safe and effective "win-win" surgical approach for UTUC.
- Combines laparoscopic benefits with the simplicity and safety of open distal ureter and bladder cuff excision.
- Minimal additional morbidity associated with the combined technique.
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