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Laparoscopic-assisted nephroureterectomy after radical cystectomy for transitional cell carcinoma
| Content Provider | Scilit |
|---|---|
| Author | Romero, Frederico R. Muntener, Michael Permpongkosol, Sompol Kavoussi, Louis R. Jarrett, Thomas W. |
| Copyright Year | 2006 |
| Description | OBJECTIVE: To report our experience with laparoscopic-assisted nephroureterectomy for upper tract transitional cell carcinomas after radical cystectomy and urinary diversion. MATERIALS AND METHODS: Seven patients (53-72 years-old) underwent laparoscopic-assisted nephroureterectomy 10 to 53 months after radical cystectomy for transitional cell carcinoma at our institution. Surgical technique, operative results, tumor features, and outcomes of all patients were retrospectively reviewed. RESULTS: Mean operative time was 305 minutes with a significant amount of time spent on the excision of the ureter from the urinary diversion. Estimate blood loss and length of hospital stay averaged 180 mL and 10.8 days, respectively. Intraoperative and postoperative complications occurred in two patients each. There was one conversion to open surgery. Pathology confirmed upper-tract transitional cell carcinoma in all cases. Metastatic disease occurred in two patients after a mean follow-up of 14.6 months. CONCLUSIONS: Nephrouretectomy following cystectomy is a complex procedure due to the altered anatomy and the presence of many adhesions. A laparoscopic-assisted approach can be performed safely in properly selected cases but does not yield the usual benefits seen with other laparoscopic renal procedures |
| Related Links | http://www.scielo.br/pdf/ibju/v32n6/v32n6a03.pdf |
| Ending Page | 639 |
| Page Count | 9 |
| Starting Page | 631 |
| ISSN | 16775538 |
| e-ISSN | 16776119 |
| DOI | 10.1590/s1677-55382006000600003 |
| Journal | International braz j urol |
| Issue Number | 6 |
| Volume Number | 32 |
| Language | English |
| Publisher | FapUNIFESP (SciELO) |
| Publisher Date | 2006-12-01 |
| Access Restriction | Open |
| Subject Keyword | International braz j urol Transitional Cell Carcinoma Laparoscopic Assisted |
| Content Type | Text |
| Resource Type | Article |
| Subject | Urology |
