The Early Experience of Retroperitoneoscopic Nephroureterectomy for Upper Urinary Tract Transitional Cell Carcinomas / 대한비뇨기과학회지
Korean Journal of Urology
;
: 28-33, 2003.
Article
in Korean
| WPRIM
| ID: wpr-130900
ABSTRACT
PURPOSE:
Retroperitoneoscopic nephroureterectomy (RNUx), with a bladder cuff excision, has only recently been used to treat patients with upper tract transitional cell carcinomas. We retrospectively evaluated our early experiences, and compared our results to those of a contemporary series of open nephroureterectomies (ONUx), in upper tract transitional cell carcinomas. MATERIALS ANDMETHODS:
We reviewed the records of 7 patients who had undergone a RNUx, with a bladder cuff excision, for a suspicious upper tract transitional cell carcinoma, and 7 who had undergone an ONUx, with a bladder cuff excision.RESULTS:
Comparing the results of the RNUx (7 patients) to the ONUx (7 patients) over the same period, we found no significant differences in the body mass index (25.1 versus 25.5kg/m2, p=0.22), specimen weights (155 versus 175gm, p=0.59) and operating time (266 versus 244 min., p=0.20). The RNUx group had significantly reduced estimated blood losses (350 versus 543mL, p=0.01), pain medication requirements (141 versus 232mg, p=0.03) and times to ambulate (21 versus 31 hours, p<0.01).CONCLUSIONS:
Our early experiences show that RNUx takes a longer operation time, and is a harder operation compared to ONUx, but it is well tolerated by patients because we can remove the kidney and ureter from a smaller lower abdominal incision. With increased experience, the operating time decreased compared to an ONUx. Thus, a RNUx may be a viable alternative for managing localized transitional cell carcinomas of the upper urinary tract.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ureter
/
Urinary Tract
/
Weights and Measures
/
Urinary Bladder
/
Carcinoma, Transitional Cell
/
Body Mass Index
/
Retrospective Studies
/
Kidney
Type of study:
Observational study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Urology
Year:
2003
Type:
Article
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