Oncologic outcomes of extravesical stapling of distal ureter in laparoscopic nephroureterectomy.

Oncologic outcomes of extravesical stapling of distal ureter in laparoscopic nephroureterectomy. Research Abstract Details 

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Oncologic outcomes of extravesical stapling of distal ureter in laparoscopic nephroureterectomy. Abstract Text:

Frederico R Romero,Edward M Schaeffer,Michael Muntener,Bruce Trock,Louis R Kavoussi,Thomas W Jarrett,Frederico R Romero,Edward M Schaeffer,Michael Muntener,Bruce Trock,Louis R Kavoussi,Thomas W Jarrett,

PURPOSE: To evaluate the safety and oncologic efficacy of extravesical laparoscopic stapling of the distal ureter and bladder cuff during nephroureterectomy for pelvicaliceal transitional-cell carcinoma (TCC). PATIENTS AND METHODS: Patients with primary pelvicaliceal TCC and no history of TCC of the bladder or ureter who underwent extravesical laparoscopic control of the bladder cuff were compared with a similar group of patients submitted to the open transvesical approach. Operative results and oncologic outcomes were compared. RESULTS: Operative time, estimate blood loss, length of hospital stay, rate of positive margins, and postoperative complications were not statistically different in the two groups of patients. With an average of almost 4 years of follow-up, the laparoscopic approach to the bladder cuff was associated with an increase in the overall rate of recurrence and a shorter recurrence-free survival, although these differences were not statistically significant. Rates of local and bladder recurrence and distant metastases were similar. CONCLUSIONS: Laparoscopic stapling of the bladder cuff has oncologic efficacy and outcomes similar to those of the open transvesical approach. However, the laparoscopic procedure may carry a higher risk of recurrence and a shorter recurrence-free interval than the open transvesical approach.

Oncologic outcomes of extravesical stapling of distal ureter in laparoscopic nephroureterectomy. Publishing Authors By Initials

FR Romero,EM Schaeffer,M Muntener,B Trock,LR Kavoussi,TW Jarrett,FR Romero,EM Schaeffer,M Muntener,B Trock,LR Kavoussi,TW Jarrett,

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Oncologic outcomes of extravesical stapling of distal ureter in laparoscopic nephroureterectomy. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of endourology / Endourological Society

VOLUME: 21

Page Numbers: 1025-7

Journal Abbreviation: J. Endourol.

ISSN: 0892-7790

DAY: 18

MONTH: Sep

YEAR: 2007

Oncologic outcomes of extravesical stapling of distal ureter in laparoscopic nephroureterectomy. Information

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LANGUAGE: eng

NlmUniqueID: 8807503

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Grant and Affiliation Information for Oncologic outcomes of extravesical stapling of distal ureter in laparoscopic nephroureterectomy.

AFFILIATION: The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.

Country: United States

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MEDLINETA: J Endourol

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