Lin W C, Lo K Y, Chang H K
Department of Urological Surgery, MacKay Memorial Hospital, Taipei, Taiwan, R.O.C.
J Formos Med Assoc. 1991 Sep;90(9):840-3.
With the extended use of transurethral endoscopic surgery, we modified the conventional nephroureterectomy that usually requires either a very long incision or two separate shorter incisions. From August 1983 to October 1988, 13 cases of renal pelvic tumor in this hospital were treated single-incision nephroureterectomy combined with transurethral incision of the bladder cuff. The advantages of this technique were less surgical time and a decrease in postoperative wound pain. There were no significant complications or local recurrence noted in this series. The proposed indications were urothelial tumors in the renal pelvis and upper ureter without demonstrable metastases. Tumors of an uncertain cell type preoperatively are especially indicated. The details of this technique are described.
随着经尿道内镜手术的广泛应用，我们对传统的肾输尿管切除术进行了改良，传统手术通常需要一个很长的切口或两个单独的较短切口。1983年8月至1988年10月，本院13例肾盂肿瘤患者接受了单切口肾输尿管切除术联合经尿道膀胱袖口切开术治疗。该技术的优点是手术时间缩短，术后伤口疼痛减轻。本系列未发现明显并发症或局部复发。建议的适应证是肾盂和上段输尿管的尿路上皮肿瘤，无明显转移。术前细胞类型不确定的肿瘤尤其适用。本文描述了该技术的详细情况。
