Zubac D P, Kihl B
Department of Surgery, Central Hospital, Karlstad, Sweden.
Scand J Urol Nephrol. 1997 Oct;31(5):431-3. doi: 10.3109/00365599709030636.
A retrospective study comprising 18 patients with transitional cell renal pelvis tumours (TCPT) was carried out to evaluate the results after two different surgical procedures for nephroureterectomy. The kidney was removed by a flank incision and the lower part of the ureter by either an incision in the lower part of the abdomen or intussusception of the ureter followed by transurethral resection of the ureteral orifice. Eight patients were subjected to nephroureterectomy by means of two incisions and another eight patients underwent a simple nephrectomy followed by ureteral intus-susception and transurethral resection. Two patients received other treatments. After nephroureterectomy with a separate incision for ureterectomy, the average hospital stay was 12 days, compared with 7.5 days in patients operated upon with only one abdominal incision. Recurrence of tumour or survival was not significantly different in the two groups.
开展了一项回顾性研究，纳入18例肾盂移行细胞肿瘤（TCPT）患者，以评估两种不同肾输尿管切除术的手术效果。通过侧腹切口切除肾脏，输尿管下段则通过下腹切口或输尿管套叠并随后经尿道切除输尿管口来切除。8例患者接受了经两个切口的肾输尿管切除术，另外8例患者先进行单纯肾切除术，然后进行输尿管套叠及经尿道切除术。2例患者接受了其他治疗。采用单独切口行输尿管切除术的肾输尿管切除术后，平均住院时间为12天，而仅通过一个腹部切口手术的患者平均住院时间为7.5天。两组患者的肿瘤复发率或生存率无显著差异。
