Levy Alison, Canes David
Department of Urology, Lahey Hospital and Medical Center, Burlington, MA, USA.
Transl Androl Urol. 2020 Aug;9(4):1853-1859. doi: 10.21037/tau.2019.12.25.
Radical nephroureterectomy (RNU) has long been considered the standard of care for treatment of upper tract urothelial carcinoma (UTUC). Despite providing oncologic control, RNU is associated with measurable morbidity and mortality. High quality data is lacking as a result of low disease incidence and very few randomized studies. In this article we will review preoperative nomograms that assist with patient counseling, summarize current knowledge about perioperative complications, and discuss adverse sequelae that may result after surgery.
根治性肾输尿管切除术（RNU）长期以来一直被视为治疗上尿路尿路上皮癌（UTUC）的标准治疗方法。尽管RNU能实现肿瘤控制，但它会带来可测量的发病率和死亡率。由于疾病发病率低且随机研究极少，高质量数据匮乏。在本文中，我们将回顾有助于患者咨询的术前列线图，总结围手术期并发症的现有知识，并讨论手术后可能出现的不良后遗症。
