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Ureteral decompression in advanced nonurologic malignancies

S M Donat1, P Russo

  • 1Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.

Annals of Surgical Oncology
|July 1, 1996
PubMed
Summary
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Ureteral decompression offers palliative benefits for advanced cancer patients, but carries significant morbidity. Survival is limited, especially for those with gastric/pancreatic cancers, suggesting a restricted role in these cases.

Area of Science:

  • Urology
  • Oncology
  • Palliative Care

Background:

  • Ureteral obstruction is a common complication in advanced nonurologic malignancies.
  • Assessing the outcomes of ureteral decompression is crucial for managing these patients.

Purpose of the Study:

  • To evaluate the morbidity and survival rates following ureteral decompression in patients with advanced nonurologic cancers.
  • To determine the effectiveness and complications associated with ureteral decompression procedures.

Main Methods:

  • A retrospective analysis of 78 patients undergoing ureteral decompression between 1988 and 1993.
  • Data collected included primary diagnosis, complications, hospitalizations, and survival post-decompression.

Main Results:

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  • 50% of patients experienced complications, primarily infection and stent-related issues.
  • Median survival after decompression was 6.8 months, with 1-year and 3-year survival rates of 55% and 30%, respectively.
  • Patients with gastric/pancreatic cancer had significantly worse outcomes (median survival 1.4 months).

Conclusions:

  • Ureteral decompression can be a valuable palliative intervention for advanced cancer patients.
  • The procedure is associated with substantial morbidity and limited survival, particularly in gastric/pancreatic cancer cases.
  • The utility of ureteral decompression in advanced gastric and pancreatic cancer patients is questionable.