Complications Following Radical Nephroureterectomy
1Division of Urology, Penn State Milton S. Hershey Medical Center, 500 University Drive, c4830B, Hershey, PA, 17033, USA. jraman@hmc.psu.edu.
Current Urology Reports
|March 13, 2016
Summary
Radical nephroureterectomy (RNU) is standard for upper tract urothelial carcinoma (UTUC). This review examines perioperative complications in elderly, comorbid UTUC patients undergoing RNU, impacting care and costs.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Radical nephroureterectomy (RNU) is the standard treatment for upper tract urothelial carcinoma (UTUC).
- Elderly and comorbid patients often require RNU, increasing perioperative complication risks.
Purpose of the Study:
- To critically review data on perioperative complications in UTUC patients undergoing RNU.
- To inform preoperative counseling, surgical decision-making, and perioperative care strategies.
Main Methods:
- Literature review focusing on perioperative complications associated with RNU for UTUC.
- Analysis of factors influencing complication rates and patient outcomes.
Main Results:
- Elderly, comorbid UTUC patients face higher risks of perioperative complications from RNU.
- Complications significantly impact hospital stay, readmission rates, resource use, and management costs.
Conclusions:
- Understanding and anticipating RNU complications is crucial for managing elderly UTUC patients.
- Effective perioperative management strategies are needed to mitigate risks and control costs.
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