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Laparoscopic Nephroureterectomy and Management of the Distal Ureter : A Review of Current Techniques and Outcomes
Joint Authors
Nadler, Robert B.
Viprakasit, Davis P.
Macejko, Amanda M.
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-01-08
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Laparoscopic nephroureterectomy (LNU) is becoming an increasingly common alternative treatment for transitional cell carcinoma (TCC) of the renal pelvis and ureter due to decreased perioperative morbidity, shorter hospitalization, and comparable oncologic control with open nephroureterectomy (ONU).
Mobilization of the kidney and proximal ureter may be performed through a transperitoneal, retroperitoneal, or hand-assisted approach.
Each technique is associated with its own benefits and limitations, and the optimal approach is often dictated by surgeon preference.
Our analysis of the literature reflects equivalent cancer control between LPN and OPN at intermediate follow-up with significantly improved perioperative morbidity following LPN.
Several methods for bladder cuff excision have been advocated, however, no individual technique for management of the distal ureter proved superior.
Overall, complete en-bloc resection with minimal disruption of the urinary tract should be optimized to maintain oncologic outcomes.
Longer follow-up and prospective studies are needed to fully evaluate these techniques.
American Psychological Association (APA)
Viprakasit, Davis P.& Macejko, Amanda M.& Nadler, Robert B.. 2009. Laparoscopic Nephroureterectomy and Management of the Distal Ureter : A Review of Current Techniques and Outcomes. Advances in Urology،Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-493326
Modern Language Association (MLA)
Viprakasit, Davis P.…[et al.]. Laparoscopic Nephroureterectomy and Management of the Distal Ureter : A Review of Current Techniques and Outcomes. Advances in Urology No. 2009 (2009), pp.1-8.
https://search.emarefa.net/detail/BIM-493326
American Medical Association (AMA)
Viprakasit, Davis P.& Macejko, Amanda M.& Nadler, Robert B.. Laparoscopic Nephroureterectomy and Management of the Distal Ureter : A Review of Current Techniques and Outcomes. Advances in Urology. 2009. Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-493326
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493326