- 期刊
- OpenAccess
Comparison of Hand-Assisted Retroperitoneoscopic Nephroureterectomy and Open Nephroureterectomy for Management of Upper Urinary Tract Urothelial Carcinoma
並列摘要
Background: We compare intraoperative profiles and outcomes of hand-assisted retroperitoneoscopic nephroureterectomy (HARNU) with bladder cuff excision with traditional open nephroureterectomy (ONU) to treat upper urinary tract urothelial carcinoma. Methods: Between January 2000 and December 2005, 65 patients underwent nephroureterectomy and bladder cuff excision for upper urinary tract urothelial carcinoma in Tri-Service General Hospital (TGSH). Of these, 34 were treated using HARNU and 31 with ONU. Both groups were reviewed for operative time, estimated intraoperative blood loss (EBL), tumor stage, postoperative pain, time to oral intake and ambulation, and postoperative hospital stay. Results: The average operative time for HARNU was 238.6 min versus 310.8 min for ONU. The average EBL was 181.6 ml versus 242.6 ml. There was no significant difference in tumor stage between the two treatment groups. The average time to oral intake was 0.8 days for HARNU versus 1.6 days for ONU; time to ambulation 2.5 days versus 3.3 days; and hospital stay 8.2 days versus 10.8 days. No major surgical complications occurred in either group. Conclusion: While ONU still represents the gold standard for the treatment of upper urinary tract urothelial carcinoma, our experience suggests that HARNU results in a shorter operative time, less blood loss, shorter postoperative hospital stay, more rapid oral intake, and an early return to ambulation; and is an effective and safe alternative technique for upper urinary tract urothelial carcinoma.
延伸閱讀
- 陳卷書（2021）。Significant predictors of urinary bladder recurrence following radical nephroureterectomy for upper tract urothelial carcinoma〔博士論文，中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/csmu202100105
- 鄭素珠、邱淑津、凌丰姿、楊式辰（2015）。Perioperative Nursing Experience of a Male Patient Underwent Laparoscopic Nephroureterectomy because of Ureteral Cancer: A Case Report。北市醫學雜誌，12(4)，385-396。https://doi.org/10.6200/TCMJ.2015.12.4.11
- Liao, A. C., Lin, V. C., Cheng, T. C., Chiu, A. W., & Lee, Y. H. (2005). Total Laparoscopic Nephroureterectomy and Bladder Cuff Excision for a Renal Pelvic Tumor in an Atrophic Kidney: Case Report and Technical Considerations. 臺灣泌尿科醫學會雜誌, 16(1), 25-30. https://www.airitilibrary.com/Article/Detail?DocID=10163220-200503-16-1-25-30-a
- Chen, W. C., Huang, J. K., Chen, M. T., Chen, K. K., Lin, A. T. L., Lee, Y. H., & Chang, L. S. (1993). Subsequent Transitional Cell Carcinoma of the Urinary Bladder in Patients with Transitional Cell Carcinoma of the Upper Urinary Tract: The Results from Conservative Surgery. 中華民國泌尿科醫學會雜誌, 4(1), 979-984. https://doi.org/10.7024/JUAROC.199303.0979
- Viprakasit, D. P., Macejko, A. M., & Nadler, R. B. (2009). Laparoscopic Nephroureterectomy and Management of the Distal Ureter: A Review of Current Techniques and Outcomes. Advances in Urology, 2009(), 170-177. https://doi.org/10.1155/2009/721371