Nephrureterectomy with endoscopic resection of the urinary bladder,ureteral ostium and terminal part in papillary tumors of the upperurinary tracts


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Abstract

Short- and long-term results of endoscopically assisted nephrureterectomy
were studied in 15 patients (7 males and 8 females aged
31-79 years) with papillary tumours of the upper urinary tracts
(UUT). Of them, 11 patients have undergone transurethral endoresection
of the urinary bladder, ostium and terminal part of the ipsilateral
ureter followed by nephrureterectomy from the lumbotomic
approach (technique 1) and 4 patients had nephrureterectomy followed
by endoscopic intervention (technique 2). Results of standard
open nephrureterectomy with resection of the bladder were analyzed
retrospectively for 25 patients with papillary tumors of the UUT taken
as control. It was found that transurethral endoscopic resection of the
bladder, ostium and terminal part of the ipsilateral ureter in nephrureterectomy
for papillary tumors of the UUT facilitates the perform-
ance, decreases duration and aggression of surgical intervention, diminishes
number of complications, shortens hospital stay of the patients
and their rehabilitation. Technique 1 is thought more ablastic
and simple in performance.

References

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