Abstract
Advancements in minimally invasive instrumentation and technique have provided the impetus to performing urologic procedures with reduced perioperative morbidity, shorter hospital stays, and, most importantly, efficacious oncologic results. At multiple centers of excellence, laparoscopic nephroureterectomy (LNU) has evolved into a new standard for the management of upper-tract transitional-cell carcinoma (TCC) that is not amenable to endoscopic resection. An LNU may be performed via a transperitoneal or retroperitoneal approach together with excision of the distal ureter and a bladder cuff. Analysis of present-day studies comparing LNU with open techniques demonstrates equivalent oncologic outcomes. In addition, those patients undergoing LNU fare better than their counterparts having open surgery with respect to hospital stay, analgesic requirements, and convalescence. With multiple options for excision of a cuff of bladder, a consensus has not been established. However, LNU has emerged as the new standard of care for the treatment of upper-tract TCC. Review of the techniques and outcomes of LNU from the minimally invasive urology community are described.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 664-676 |
| Number of pages | 13 |
| Journal | Journal of Endourology |
| Volume | 19 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jul 1 2005 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Urology
Cite this
Laparoscopic nephroureterectomy with bladder-cuff resection : Techniques and outcomes. / Tan, Beng Jit; Ost, Michael C.; Lee, Benjamin R.
In: Journal of Endourology, Vol. 19, No. 6, 01.07.2005, p. 664-676.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Laparoscopic nephroureterectomy with bladder-cuff resection
T2 - Techniques and outcomes
AU - Tan, Beng Jit
AU - Ost, Michael C.
AU - Lee, Benjamin R.
PY - 2005/7/1
Y1 - 2005/7/1
N2 - Advancements in minimally invasive instrumentation and technique have provided the impetus to performing urologic procedures with reduced perioperative morbidity, shorter hospital stays, and, most importantly, efficacious oncologic results. At multiple centers of excellence, laparoscopic nephroureterectomy (LNU) has evolved into a new standard for the management of upper-tract transitional-cell carcinoma (TCC) that is not amenable to endoscopic resection. An LNU may be performed via a transperitoneal or retroperitoneal approach together with excision of the distal ureter and a bladder cuff. Analysis of present-day studies comparing LNU with open techniques demonstrates equivalent oncologic outcomes. In addition, those patients undergoing LNU fare better than their counterparts having open surgery with respect to hospital stay, analgesic requirements, and convalescence. With multiple options for excision of a cuff of bladder, a consensus has not been established. However, LNU has emerged as the new standard of care for the treatment of upper-tract TCC. Review of the techniques and outcomes of LNU from the minimally invasive urology community are described.
AB - Advancements in minimally invasive instrumentation and technique have provided the impetus to performing urologic procedures with reduced perioperative morbidity, shorter hospital stays, and, most importantly, efficacious oncologic results. At multiple centers of excellence, laparoscopic nephroureterectomy (LNU) has evolved into a new standard for the management of upper-tract transitional-cell carcinoma (TCC) that is not amenable to endoscopic resection. An LNU may be performed via a transperitoneal or retroperitoneal approach together with excision of the distal ureter and a bladder cuff. Analysis of present-day studies comparing LNU with open techniques demonstrates equivalent oncologic outcomes. In addition, those patients undergoing LNU fare better than their counterparts having open surgery with respect to hospital stay, analgesic requirements, and convalescence. With multiple options for excision of a cuff of bladder, a consensus has not been established. However, LNU has emerged as the new standard of care for the treatment of upper-tract TCC. Review of the techniques and outcomes of LNU from the minimally invasive urology community are described.
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UR - http://www.scopus.com/inward/citedby.url?scp=23744479091&partnerID=8YFLogxK
U2 - 10.1089/end.2005.19.664
DO - 10.1089/end.2005.19.664
M3 - Review article
C2 - 16053355
AN - SCOPUS:23744479091
VL - 19
SP - 664
EP - 676
JO - Journal of Endourology
JF - Journal of Endourology
SN - 0892-7790
IS - 6
ER -