Carcinoma recurrence rates after laparoscopic nephroureterectomy in patients undergoing transurethral incision of the ureteral orifice and open excision of bladder cuff

• Published in: Zhong hua yi xue za zhi Vol. 88; no. 40; p. 2854
• Main Authors: Zhang, Dao-xin, Shen, Hong-liang, Lü, Wen-cheng, Tian, Ye, Li, Jun, Hao, Gang-yue, Xiao, Jing, DU, Lin-dong
• Format: Journal Article
• Language: Chinese
• Published: China 04.11.2008
• Subjects: Aged; Aged, 80 and over; Carcinoma, Transitional Cell - pathology; Carcinoma, Transitional Cell - surgery; Female; Follow-Up Studies; Humans; Kidney - surgery; Kidney Neoplasms - pathology; Kidney Neoplasms - surgery; Laparoscopy; Male; Middle Aged; Neoplasm Recurrence, Local; Prognosis; Retrospective Studies; Ureter - surgery; Urologic Neoplasms - pathology; Urologic Neoplasms - surgery
• ISSN: 0376-2491

To compare the oncologic efficacy of transurethral incision of the ureteral orifice and open excision of bladder cuff in retroperitoneal laparoscopic nephroureterectomy (LNU) for patients with upper tract urothelium carcinoma. The hospital records of 86 patients with upper tract urothelium carcinoma who underwent laparoscopic nephroureterectomy were reviewed retrospectively. 53 of the 86 patients, 22 males and 31 females, aged (68.6+/-14.1), underwent transurethral incision of the ureteral orifice (TUIUO), and 33, 14 males and 19 females, aged (72.4+/-15.2), underwent open excision of bladder cuff. Electric cauterization of the ureteral orifice was performed prior to resection. Follow-up was conducted for 28 (3-47) months. In all the specimens in the TUIUO group scar at the ureter orifice caused by electric excision could be seen. Test to check the pressure of distal ureter in 25 specimens proved that the ureters were all sealed. The distal ureter end began to leak at the water pressure of 135 cm in 1 case, a