A Modified Single Mini-Incision Complete Urinary Tract Exenteration for Urothelial Carcinoma in Dialysis Patients
Joint Authors
Lin, Jen-Tai
Yu, Chia-Cheng
Tsai, Jeng-Yu
Chen, I-Hsuan
Wu, Tony
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To present our experience with single mini-incision complete urinary tract exenteration (CUTE) for female dialysis patients suffering from urothelial carcinoma (UC).
Patients and Methods.
Institutional review board approval was obtained.
From 2005 through 2012, 14 female dialysis patients with UC underwent single mini-incision CUTE, in combination with radical hysterectomy and bilateral salpingo-oophorectomy.
All were placed in the modified dorsal lithotomy position without repositioning.
An infraumbilical midline mini-incision was made.
Bilateral nephroureterectomy was first performed entirely extraperitoneally, followed by radical cystectomy with removal of the uterus and ovaries transperitoneally.
Results.
All procedures were done successfully without major complications.
The median operative time was 242.5 minutes, and estimated blood loss was 500 mL.
The median time to oral intake was 2 postoperative days; the median hospital stay was 11 days.
Ten patients remained cancer-free at a median follow-up of 46.5 months; six patients were confirmed as having preoperatively undetectable UC or renal cell carcinoma, even after reviewing preoperative computed tomography.
Conclusions.
This modified technique provides a time-saving complete urinary tract extirpation to eliminate preoperatively undetectable malignancy, reduce metachronous recurrences, and avert perioperative complications associated with pneumoperitoneum and repositioning.
Good cancer control and early convalescence can mutually be achieved in experienced hands.
American Psychological Association (APA)
Chen, I-Hsuan& Lin, Jen-Tai& Tsai, Jeng-Yu& Wu, Tony& Yu, Chia-Cheng. 2014. A Modified Single Mini-Incision Complete Urinary Tract Exenteration for Urothelial Carcinoma in Dialysis Patients. BioMed Research International،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-488164
Modern Language Association (MLA)
Chen, I-Hsuan…[et al.]. A Modified Single Mini-Incision Complete Urinary Tract Exenteration for Urothelial Carcinoma in Dialysis Patients. BioMed Research International No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-488164
American Medical Association (AMA)
Chen, I-Hsuan& Lin, Jen-Tai& Tsai, Jeng-Yu& Wu, Tony& Yu, Chia-Cheng. A Modified Single Mini-Incision Complete Urinary Tract Exenteration for Urothelial Carcinoma in Dialysis Patients. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-488164
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-488164