Abstract
Retroperitoneal laparoscopic nephroureterectomy (LNU) combined with transurethral electric resection of ipsilateral bladder cuff is widely accepted to treat the upper urinary tract urothelial carcinoma (UUT-UC). To reduce the local recurrence rate, we improved the procedure from electric resection to electric coagulation. From May 2008 to July 2012, of all the 156 retroperitoneal LNU patients, 76 cases (test group) were performed with LNU combined with electric coagulation, and 80 cases (control group) were with electric resection. For the clinical outcomes, the hospital stay in the test group was shorter (5.2 ± 2.6 days versus 8.2 ± 3.4 days; P < 0.05), and the 1-year tumor recurrence rate was much lower (1.6% versus 13.3%, P < 0.05). There was no difference in operation time and blood loss between groups. Retroperitoneal LNU combined with electric coagulation is technically feasible and safe with lower tumor recurrence rate and shorter hospital stay.
References
Jul 13, 2004·European Urology·W OosterlinckUNKNOWN European Association of Urology
Jan 12, 2005·The Journal of Urology·Surena F Matin, Inderbir S Gill
Jun 15, 2007·The Journal of Urology·Ching-Fang WuPaul-Yann Lin
Aug 21, 2007·Journal of Endourology·Raymond KoStephen E Pautler
Oct 19, 2007·Journal of Endourology·Petrişor GeavleteVictor Mirciulescu
Jan 16, 2008·World Journal of Surgical Oncology·Tawatchai TaweemonkongsapSuchai Soontrapa
Jan 22, 2008·European Urology·Richard Zigeuner, Karl Pummer
Feb 5, 2008·Urology·Tomoaki TerakawaMasato Fujisawa
Apr 24, 2008·World Journal of Urology·Ashok K HemalAmlesh Seth
Dec 17, 2008·The Journal of Urology·T J WaltonR J Lemberger
Jan 17, 2009·Advances in Urology·Davis P ViprakasitRobert B Nadler
May 2, 2009·Virus Research·Yan-Jun ZhouGuang-Zhi Tong
Mar 25, 2010·Urologia Internationalis·Evangelos G GkougkousisT R Leyshon Griffiths
Aug 6, 2011·Journal of Endourology·Grant D StewartDavid A Tolley
Jul 5, 2012·BJU International·Bhavan Prasad RaiGhulam Nabi
Nov 16, 2013·International Surgery·Takatsugu YamamotoKoichi Ohno