Komiakov B K
Urol Nefrol (Mosk). 1998 May-Jun(3):18-21.
The author believes that in diagnosis of tumors of the upper urinary tracts more information can be obtained at ureteropyeloscopy with retrograde contrasting of the urinary tracts and, if necessary, biopsy of abnormal urothelium regions. 19 patients with pelvic and 4 patients with ureteral tumor were operated on. 2(8.7%) patients with tumor in the lower third of the ureter underwent resection with Boari operation, classic nephroureterectomy with bladder resection was made in 15(65.2%) patients, transurethral resection of the wall of the bladder, ostium and distal ureter followed by nephroureterectomy was performed in 6(26.1%) patients. The latter operative procedure is radical but less traumatic. Five-year survival made up 73.9%.
作者认为，在上尿路肿瘤的诊断中，输尿管肾盂镜检查结合尿路逆行造影，必要时对异常尿路上皮区域进行活检，可获得更多信息。对19例盆腔肿瘤患者和4例输尿管肿瘤患者进行了手术。2例（8.7%）输尿管下段肿瘤患者行鲍里手术切除，15例（65.2%）患者行经典肾输尿管切除术并切除膀胱，6例（26.1%）患者行经尿道膀胱壁、尿道口及输尿管远端切除术，随后行肾输尿管切除术。后一种手术方法是根治性的，但创伤较小。五年生存率为73.9%。
