Complete transperitoneal laparoscopic nephroureterectomy in a single position for upper urinary tract urothelial carcinoma and comparative outcomes

Background To describe the techniques and outcomes of complete transperitoneal laparoscopic nephroureterectomy (CTLNU) for upper urinary tract urothelial carcinoma (UTUC) in a single position. Materials and methods Those patients with localized UTUC were included, among which 50 cases had CTLNU whil...

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Published in:World journal of surgical oncology 2021-07, Vol.19 (1), p.1-195, Article 195
Main Authors: Xiao, Chengwu, Wang, Yang, Hua, Meimian, Zhang, Wei, Ren, Guanyu, Yang, Bin, Yang, Qing
Format: Article
Language:English
Subjects:
Abdomen
Adrenal glands
Bladder
Bladder cancer
Blood
Cancer
Care and treatment
Catheters
Cellular biology
Complications and side effects
Diagnosis
Dissection
General anesthesia
Laparoscopic surgery
Laparoscopy
Nephroureterectomy
Pain
Patient outcomes
Patients
Pelvis
Single position
Surgery
Surgical techniques
Tumors
Urinary tract
Urinary tract cancer
Urinary tract urothelial carcinoma
Urogenital system
Urothelial carcinoma
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Summary:Background To describe the techniques and outcomes of complete transperitoneal laparoscopic nephroureterectomy (CTLNU) for upper urinary tract urothelial carcinoma (UTUC) in a single position. Materials and methods Those patients with localized UTUC were included, among which 50 cases had CTLNU while 48 cases had laparoscopic nephroureterectomy with open bladder cuff excision (LNOBE). The clinical data were collected and analyzed retrospectively. Results All 98 patients underwent successful procedures of radical nephroureterectomy without transferring into open surgery. No significant difference was found among baseline clinical characteristics. Compared with the LNOBE group, the CTLNU group had a shorter operative time (98.5[+ or -]40.3 min vs. 132.4[+ or -]60.2 min), less blood loss (60.4[+ or -]20.3 ml vs. 150.6[+ or -]50.2 ml), shorter length of hospital stay (5.3[+ or -]2.2 days vs. 8.1[+ or -]2.3 days), and shorter incision (6.3[+ or -]1.2 cm vs. 11.5[+ or -]3.2 cm). The disease-related outcomes such as pathological stage, tumor grade, and recurrence rate were similar between the two groups. Conclusions The CTLNU in a single position had advantages of shorter operation time, less blood loss, and shorter incision length. This surgical technique is a more minimally invasive, simplified, and effective way to perform the radical nephroureterectomy. Keywords: Urinary tract urothelial carcinoma, Laparoscopy, Nephroureterectomy, Single position
ISSN:1477-7819
1477-7819
DOI:10.1186/s12957-021-02297-0