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非侵袭性远端输尿管癌的保守性手术治疗

Conservative surgical management for noninvasive distal ureteral carcinoma.

作者信息

Johnson D E, Babaian R J

出版信息

Urology. 1979 Apr;13(4):365-7. doi: 10.1016/0090-4295(79)90331-5.

DOI:10.1016/0090-4295(79)90331-5
PMID:433040
Abstract

Distal ureterectomy with direct ureteroneocystostomy facilitated by the psoas bladder hitch procedure has been used in 6 patients for management of low-grade, noninvasive primary ureteral carcinoma. All patients are alive, two to ninety-six months postoperatively. Recurrent ipsilateral urothelial malignant disease has occurred in only 1 patient, twenty-six months postoperatively, necessitating a secondary nephroureterectomy. Renal function has been preserved in the remaining 5 patients. The continued practice of conservative surgery in these cases appears warranted.

摘要

通过腰大肌膀胱固定术辅助的远端输尿管切除术及直接输尿管膀胱吻合术已应用于6例低级别、非侵袭性原发性输尿管癌患者的治疗。所有患者均存活,术后2至96个月。仅1例患者在术后26个月出现同侧复发性尿路上皮恶性疾病,需要进行二次肾输尿管切除术。其余5例患者的肾功能得以保留。在这些病例中继续采用保守手术似乎是合理的。

相似文献

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Conservative surgical management for noninvasive distal ureteral carcinoma.非侵袭性远端输尿管癌的保守性手术治疗
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2
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引用本文的文献

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Oncologic outcomes of radical nephroureterectomy (RNU).根治性肾输尿管切除术(RNU)的肿瘤学结局。
Transl Androl Urol. 2020 Aug;9(4):1841-1852. doi: 10.21037/tau.2019.12.29.
2
The impact of method of distal ureter management during radical nephroureterectomy on tumour recurrence.根治性肾输尿管切除术期间远端输尿管处理方法对肿瘤复发的影响。
Can Urol Assoc J. 2014 Nov;8(11-12):E845-52. doi: 10.5489/cuaj.1985.
3
The method of bladder cuff excision during laparoscopic radical nephroureterectomy does not affect oncologic outcomes in upper tract urothelial carcinoma.
腹腔镜根治性肾输尿管切除术时膀胱袖套切除方法对上尿路上皮癌的肿瘤学结果没有影响。
World J Urol. 2013 Feb;31(1):175-81. doi: 10.1007/s00345-012-0915-0. Epub 2012 Jul 29.
4
Ureteroscopic management of upper urinary tract urothelial malignancies.上尿路尿路上皮恶性肿瘤的输尿管镜治疗
Rev Urol. 2000 Spring;2(2):116-21.