高风险尿路癌的细分尿路切除术:初步报告
Wei Wei1, Junfeng Liu1, Lingdian Wang1
1Department of Urology, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, China.
BMC urology
|June 5, 2023
概括
分段性尿路切除术 (SU) 对高风险尿路癌患者的有效性和安全性令人满意. 需要进一步的前性研究来证实SU在这个患者群体中的价值.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 在瘤学瘤学.
背景情况:
- 欧盟的指导方针建议在低风险的上路泌尿道癌 (UTUC) 时进行节约手术 (KSS).
- 对于高风险的UTUC,特别是尿路切除,KSS的数据有限.
研究的目的:
- 评估细分尿路切除术 (SU) 在患有高风险尿路癌的患者中的有效性和安全性.
主要方法:
- 从2017年5月至2021年12月接受SU的20名患者的回顾性研究.
- 评估整体存活 (OS),无进展存活 (PFS),ECOG分数和术后并发症.
主要成果:
- 平均OS为62.1个月,平均PFS为45.0个月.
- 3年的OS率为70%,3年的PFS率为50%.
- 15%的患者经历了Clavien I和II并发症.
结论:
- 分段性尿路切除术 (SU) 在精选的高风险尿路癌症患者中显示出令人满意的疗效和安全性.
- 需要进行前性或随机研究来验证SU在高风险尿管癌中的作用.
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