| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296895 |
| ISSN: | 1677-5538 |
| Autors: | Permpongkosol, Sompol1 Romero, Frederico R Muntener, Michael Kavoussi, Louis R2 Jarrett, Thomas W3 |
| Institucions: | 1The James Buchanan Brady Urological Institute, Baltimore, Maryland. Estados Unidos de América 2North Shore-LIJ Health System Department of Urology, Long Island, Nueva York. Estados Unidos de América 3The George Washington University, Department of Urology, Washington, Distrito de Columbia. Estados Unidos de América |
| Any: | 2006 |
| Període: | Nov-Dic |
| Volum: | 32 |
| Número: | 6 |
| Paginació: | 631-639 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | 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 |
| Disciplines | Medicina |
| Paraules clau: | Cirugía, Nefrología, Carcinoma, Células transicionales, Cistectomía, Laparoscopia, Nefrectomía, Recurrencia, Reoperaciones |
| Keyword: | Medicine, Nephrology, Surgery, Carcinoma, Transitional cells, Cystectomy, Laparoscopy, Nephrectomy, Recurrence, Reoperations |
| Text complet: | Texto completo (Ver HTML) |
