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1.
Tech Urol ; 2(1): 10-5, 1996.
Article in English | MEDLINE | ID: mdl-9118397

ABSTRACT

Since January 1993, 10 patients with bilateral ureteral obstruction due to advanced pelvic cancers underwent videoendosurgical cutaneous ureterostomy. Five patients had prostate cancer, three had uterine cancer, and only two had bladder cancer. In five cases a bilateral laparoscopic transperitoneal procedure (LCU) was performed. In five cases a retroperitoneal laparoscopic technique (RLCU) was adopted, and only in one out of these five cases was the procedure done bilaterally. All the procedures were done under general anesthesia. The procedure was accomplished in all the cases without any intraoperative complication. Monolateral retroperitoneal laparoscopic cutaneous ureterostomy (RLCU) required 35-42 min, including the dilation time. Bilateral RLCU required extra time for changing the position of the patient. Postoperative pain was rather insignificant and did not require additional medication. Postdiversion hospital stay was 3-6 days depending on the general condition of the patient. The mean follow-up was 14.4 months.


Subject(s)
Endoscopy/methods , Retroperitoneal Space/surgery , Ureteral Obstruction/surgery , Ureterostomy/methods , Adult , Aged , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Length of Stay , Male , Middle Aged , Prostatic Neoplasms/complications , Prostatic Neoplasms/therapy , Retrospective Studies , Stents , Treatment Outcome , Ureteral Obstruction/etiology , Urinary Bladder Neoplasms/complications , Urinary Bladder Neoplasms/therapy , Uterine Neoplasms/complications , Uterine Neoplasms/therapy
2.
Eur Urol ; 28(4): 328-33, 1995.
Article in English | MEDLINE | ID: mdl-8575502

ABSTRACT

Since January 1993, 9 patients with bilateral ureteral obstruction due to advanced pelvic cancers underwent videoendosurgical cutaneous ureterostomy. Five patients had prostate cancer, 3 had uterine cancer and only 1 bladder cancer. In 5 cases a bilateral laparoscopic transperitoneal procedure was performed. In 4 cases a retroperitoneal laparoscopic technique was adopted and only in 1 out of these 4 cases the procedure was done bilaterally. All the procedures were done under general anesthesia. The procedure was accomplished in all the cases without any intraoperative complication; the operative time ranged between 35 and 130 min. Postoperative pain was rather insignificant and did not require additional medication. Postdiversion hospital stay ranged from 3 to 11 days according to the general condition of the patients. The mean follow-up is 10.8 months. In conclusion, retroperitoneal laparoscopic cutaneous ureterostomy seems to be a reasonable alternative to percutaneous nephrostomy in case of bilateral ureteral obstruction due to advanced prostate or uterine cancer, provided that the clinical condition of the patient allows general anesthesia.


Subject(s)
Laparoscopy , Palliative Care , Pelvic Neoplasms/complications , Ureteral Obstruction/surgery , Ureterostomy/methods , Urinary Diversion/methods , Video Recording , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Ureteral Obstruction/etiology
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