完整的逆转皮质神经显微镜彻底性瘤切除术与体内外膀袖口切除术 - 手术技术和早期结果
Alessandro Marquis1, Francesco Soria1, Marco Oderda1
1Urology Clinic, Department of Surgical Sciences, City of Health and Sciences at Molinette University Hospital, University of Turin, Turin, Italy.
概括
带有体内膀袖切除 (BCE) 的全面逆转皮质神经显微镜彻底性脑膜切除术 (frRNU) 是治疗上道泌尿道癌的安全有效技术. 早期瘤学结果是有希望的,复发率低.
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
- 最少侵入性的手术
背景情况:
- 上道泌尿道癌 (UTUC) 需要进行彻底的瘤切除术.
- 最少侵入性技术的目的是降低患病率,同时保持瘤控制.
- 逆转皮质透镜的方法比开放式手术具有潜在的优势.
研究的目的:
- 为了说明全面的逆转皮质突透镜激进脏切除术 (frRNU) 的技术.
- 评估体内外膀袖口切除术 (BCE) 的可行性和安全性.
- 评估frRNU与ECB的早期瘤结果.
主要方法:
- 对27名为UTUC接受frRNU的患者进行了回顾性分析.
- 详细描述frRNU技术与体内 BCE 的详细描述.
- 评估手术参数,并发症和瘤结果.
主要成果:
- 平均手术时间为230分钟,血液损失为125毫升.
- 并发症率为33%,其中7%的Clavien Dindo ≥3次并发症.
- 所有患者的外科手术边缘均为负; pN+为11%.
- 在中位数11个月的随访期间,膀复发率为15%;没有逆上皮质复发.
结论:
- frRNU与体内 BCE 是UTUC的可行和安全的外科选择.
- 该技术允许进行充分的膀袖口切除和淋巴结剖析.
- 短期的瘤结果是有希望的,并可接受的并发症率.
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