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Retroperitoneal Laparoscopic Radical Nephroureterectomy for Treatment of Transitional Cell Carcinoma of the Renal Pelvic: A Comparison with Open Nephroureterectomy

Author: ZhangShuWei
Tutor: WangShuo
School: Zhejiang University
Course: Surgery
Keywords: Laparoscopy Radical nephroureterectomy Renal pelvic transitional cell carcinoma
CLC: R737.11
Type: Master's thesis
Year: 2008
Downloads: 67
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Abstract


Objective:To report our experience of retroperitoneal laparoscopic radical nephroureterectomy for treatment of transitional cell carcinoma of the renal pelvic and evaluate the clinical effectiveness and safety.Methods:In 25 Patients with renal pelvic transitional cell carcinoma,the kidney was retroperitoneally dissected and the ureteral end was resected with retroperitoneal laparoscopic procedure(group A).41 patients underwent open nephroureterectomy (group B)。We compare the operating time,blood loss,recovery of intestinal function after operation,the postoperative hospital stay,the amount of antalgesic between group A and group B retrospectively。Results:The average nephrectomy operative time and partial bladder resection, bleeding volume was 122.5 min,38.9 min and 131.1 mL in group A,85.6min, 36.1min and 229.3 mL in group B.The average recovery of intestinal function after operation was 1.6 d in group A,and 2.9 d in group B.The average the amount of antalgesic was 76.8mg in group A and 214.5mg in group B.The average the postoperative hospital stay was 10.4d in group A and 11.7 group B.No statistically significant difference was seen in bladder recurrence,or extravesical recurrence rates among the two groups.Conclusion:Our retroperitoneal laparoscopic radical nephroureterectomy for treatment of transitional cell carcinoma of the renal pelvic is less invasive than open surgery and is a safe and effective alternative.

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CLC: > Medicine, health > Oncology > Genitourinary tumors > Urinary tumors > Kidney,renal pelvis tumor
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