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Simultaneous laparoscopic nephroureterectomy and cystectomy: a preliminary report
Barros, Rodrigo; Frota, Rodrigo; Stein, Robert J; Turna, Burak; Gill, Inderbir S; Desai, Mihir M.
Afiliação
  • Barros, Rodrigo; Cleveland Clinic Foundation. Glickman Urological Institute. Section of Laparoscopic and Robotic Surgery. Cleveland. US
  • Frota, Rodrigo; Cleveland Clinic Foundation. Glickman Urological Institute. Section of Laparoscopic and Robotic Surgery. Cleveland. US
  • Stein, Robert J; Cleveland Clinic Foundation. Glickman Urological Institute. Section of Laparoscopic and Robotic Surgery. Cleveland. US
  • Turna, Burak; Cleveland Clinic Foundation. Glickman Urological Institute. Section of Laparoscopic and Robotic Surgery. Cleveland. US
  • Gill, Inderbir S; Cleveland Clinic Foundation. Glickman Urological Institute. Section of Laparoscopic and Robotic Surgery. Cleveland. US
  • Desai, Mihir M; Cleveland Clinic Foundation. Glickman Urological Institute. Section of Laparoscopic and Robotic Surgery. Cleveland. US
Int. braz. j. urol ; 34(4): 413-421, July-Aug. 2008. ilus, tab
Article em En | LILACS | ID: lil-493661
Biblioteca responsável: BR1.1
ABSTRACT

PURPOSE:

Patients with muscle-invasive bladder cancer and concomitant upper urinary tract tumors may be candidates for simultaneous cystectomy and nephroureterectomy. Other clinical conditions such as dialysis-dependent end-stage renal disease and non-functioning kidney are also indications for simultaneous removal of the bladder and kidney. In the present study, we report our laparoscopic experience with simultaneous laparoscopic radical cystectomy (LRC) and nephroureterectomy. MATERIALS AND

METHODS:

Between August 2000 and June 2007, 8 patients underwent simultaneous laparoscopic radical nephroureterectomy (LNU) (unilateral-6, bilateral-2) and radical cystectomy at our institution. Demographic data, pathologic features, surgical technique and outcomes were retrospectively analyzed.

RESULTS:

The laparoscopic approach was technically successful in all 8 cases (7 males and 1 female) without the need for open conversion. Median total operative time, including LNU, LRC, pelvic lymphadenectomy and urinary diversion, was 9 hours (range 8-12). Median estimated blood loss and hospital stay were 755 mL (range 300-2000) and 7.5 days (range 4-90), respectively. There were no intraoperative complications but only 1 major and 2 minor postoperative complications. The overall and cancer specific survival rates were 37.5 percent and 87.5 percent respectively at a median follow-up of 9 months (range 1-45).

CONCLUSIONS:

Laparoscopic nephroureterectomy with concomitant cystectomy is technically feasible. Greater number of patients with a longer follow-up is required to confirm our results.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Carcinoma de Células de Transição / Cistectomia / Neoplasias Urológicas / Nefrectomia Tipo de estudo: Observational_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Carcinoma de Células de Transição / Cistectomia / Neoplasias Urológicas / Nefrectomia Tipo de estudo: Observational_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Brasil