Laparoscopic segmental ureteral resection with ileal-ureter substitution for ureteral urothelial carcinoma


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Abstract

Ureteral resection for the mid-ureter urothelial carcinoma is the operation of choice in patients with low-grade tumors. However, extensive excision within normal tissues may lead to difficulty in appropriate apposition of the ends of the ureter, while incomplete resection increases the risk of oncological progression. This article describes the first experience with laparoscopic segmental ureteral resection with the ileal - ureter substitution for mid-ureter urothelial carcinoma. In this case, a short nonreconfigurated segment of the ileum was interposed between the distal and proximal ends of the resected ureter. Operative time was 230 min, and blood loss was less than 100 ml. No complications were observed. The patient’s postoperative hospital stay was seven days. Follow-up examination 12 months after surgery showed no evidence of the disease progression and preserved normal renal function. The proposed method may be considered as an alternative treatment for carefully selected patients.

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About the authors

A. D Kochkin

Clinical Hospital at Nizhny Novgorod Railway Station of JSC «RZD»; Privolzhskiy Research Medical University of Minzdrav of Russia

Email: kochman@bk.ru
Ph.D., Urologist at the Department of Urology, Clinical Hospital

F. A Sevryukov

Clinical Hospital at Nizhny Novgorod Railway Station of JSC «RZD»; Privolzhskiy Research Medical University of Minzdrav of Russia

Email: fedor_sevrukov@mail.ru
Dr.Med.Sci., Associate Professor , Professor

V. N Krupin

Privolzhskiy Research Medical University of Minzdrav of Russia

Email: vn.krupin@mail.ru
Dr.Med.Sci., Professor, Head of the E.V. Shakhov Deparment ofUrology

E. A Bezrukov

I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia

Email: eabezrukov@rambler.ru
Ph.D., Urologist at the Department of Urology, Clinical Hospital

A. V Knutov

Clinical Hospital at Nizhny Novgorod Railway Station of JSC «RZD»

Email: knutov-av@yandex.ru
Urologist at the Department of Urology, Clinical Hospital

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