Comparative study of retroperitoneoscopy combined with transurethral resection of the prostate in the treatment of upper urinary tract epithelial carcinoma
Abstract：To explore the difference in clinical curative effect of laparoscopic renal ureter resection combined with transurethral electrocoagulation vs. retroperitoneal laparoscopic renal ureter resection combined with transurethral resection of the prostate in the treatment of upper urinary tract carcinoma of upper urinary tract. Methods: 108 cases of upper urinary tract urothelial cancer admitted in our hospital during January 2009 and January 2015 were divided into two groups by random number table method: the electrocoagulation treatment group and the electric cutting treatment group (n=54 each). Patients in the electrocoagulation group were treated with retroperitoneal laparoscopic nephroureterectomy combined with transurethral electrocoagulation therapy, and those in the electric cutting treatment group were given retroperitoneal laparoscopic renal and ureteral resection and transurethral resection of the prostate. The amount of bleeding, postoperative hospital stay, operative time and postoperative tumor recurrence rate were compared between two groups. Results: The intraoperative bleeding, operative time and hospital stay in the electrocoagulation treatment group were (79.7±15.7) mL, (108.2±17.1) min, and (5.5±2.0) days, and those were (76.5±18.7) mL, (103.0±18.7) min, and (7.1±2.2) days in the electric cutting treatment group, respectively. The difference in the amount of bleeding and operative time between the two groups was not statistically significant (P>0.05). The duration of hospitalization in the electrocoagulation group was shorter than that in the electric cutting treatment group, and the difference was statistically significant (P<0.05). There were 6 cases of bladder tumor recurrence, 10 cases of bladder recurrence planting, 10 cases of recurrence of renal pelvic tumor, and 6 cases of ureter tumor recurrence in the electric cutting treatment group; and 2 cases of bladder tumor recurrence, and 2 cases of ureteral tumor recurrence. The tumor recurrence rate in the electrical resection treatment group was significantly higher than in the electrocoagulation group (P<0.05). Conclusions: The use of laparoscopic nephroureterectomy combined with transurethral electrocoagulation to treat the upper urinary tract urothelial carcinoma significantly reduces the postoperative tumor recurrence rate and shorten the hospitalization time, and can be further extended and used in clinical practice.
杨钧显，张超雄，陈磊，李永发，林黎，高强利. 后腹腔镜联合经尿道电凝与经尿道电切在治疗上尿路尿路上皮癌的对照研究[J]. 微创泌尿外科杂志, 2016, 5(2): 80-83.
Yang,Junxian,Zhang,Chaoxiong,Chen,Lei,Li,Yongfa,Lin,Li,Gao,Qiangli. Comparative study of retroperitoneoscopy combined with transurethral resection of the prostate in the treatment of upper urinary tract epithelial carcinoma. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(2): 80-83.
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