上道泌尿道癌的演变 - - 在接受脏的患者中治疗泌尿道癌的方法
Kuo-Jen Lin1, Sy-Yuan Chen2, Yang-Jen Chiang1
1Department of Urology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; School of Medicine, Chang Gung University, Taoyuan, Taiwan; Chang Gung Transplant Institute, Taoyuan, Taiwan.
Transplantation proceedings
|April 26, 2024
概括
与单边手术相比,双边脏切除术为脏移植接受者提供了更好的结果,他们患有上道泌尿瘤. 这项研究支持双边瘤切除术作为一种潜在的优越治疗选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 移植手术 移植手术
背景情况:
- 上道泌尿瘤是移植患者常见的一种恶性瘤.
- 彻底脏切除术是标准的,但双边手术可能会提供更好的结果.
- 这项研究评估了这一患者群体中单边和双边脏切除术的结果.
研究的目的:
- 为了比较双边瘤切除术和单边瘤切除术在患上上道泌尿瘤的接受者的结果.
- 为这些患者提供支持最佳外科治疗的证据.
主要方法:
- 从1981年到2023年在一个单一的中心 (功纪念医院林口分院) 进行了回顾性数据收集.
- 对44名接受脏移植的接受者进行了分析,他们被诊断患有上道泌尿系统癌.
- 对医疗记录进行审查,以获得详细的患者信息和手术史.
主要成果:
- 分析了44名脏接受者,他们患有上道泌尿瘤.
- 双边瘤切除术显示,与单边瘤切除术 (15.8年) 相比,无进展的生存期 (未达到) 显著更好.
- 在接受两种手术的小组患者中观察到逆侧瘤.
结论:
- 双边脏切除术可能是患上上道泌尿瘤的脏接受者最喜欢的治疗方法.
- 研究结果表明,采用双边方法可以获得更好的结果.
- 这项研究的回顾性质是一个明显的局限性.
相关概念视频
Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Kidney Transplant I: Introduction
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant III: Nursing Management
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...


