Outcomes and Complications of Simultaneous Laparoscopic Cystectomy and Laparoscopic Nephroureterectomy with Umbilical Reduced Port Surgery

Tanaka, Yutaro; Okamura, Tomonori; Chaya, Ryosuke; Nagai, Takashi; Kobayashi, Daichi; Kobayashi, Takahiro; Akita, Hidetoshi; Yasui, Takahiro

doi:10.31557/apjcp.2018.19.12.3495

Cited by 4 publications

(4 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are small series of studies that conclude that performing in a single operation laparoscopic nephroureterectomy and cystectomy is feasible, with good oncological results and early recovery [ 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic radical cystectomy and nephroureterectomy en bloc resection with lomboaortic and pelvic lymph node dissection

Petruț

Coman

Hârdo³

et al. 2020

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

Background & Aims: In patients with recurrent high grade or muscle invasive bladder cancer and concomitant upper urinary tract tumors or non-functional kidney can be performed laparoscopic radical cystectomy and nephroureterectomy with lomboaortic and pelvic lymph node dissection. We present our initial experience. Methods: Between 2018 and 2019, 4 patients underwent laparoscopic radical cystectomy and unilateral nephroureterectomy en bloc resection with lomboaortic and pelvic lymph node dissection. The nephroureterectomy was the first part of the surgery. After it, the radical cystectomy with lymphadenectomy was performed. All the specimes were removed en bloc in an endobag through a midline incision. Results: Patients demographic characteristics and perioperative outcomes were retrospectively collected and evaluated. All surgeries were completed laproscopically. There was no need of conversion to open surgery. The mean operative time was 286,25 min with minimal blood loss (260 ml). No major complications were reported. The mean follow-up period was 8,75 months. Conclusion: Laparoscopic radical cystectomy and nephroureterectomy en bloc resection with lomboaortic and pelvic lymph node dissection can be safe and feasible in selected cases as an alternative approach to the open surgery, offering good oncological and functional results.

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic radical cystectomy and nephroureterectomy en bloc resection with lomboaortic and pelvic lymph node dissection

Petruț

Coman

Hârdo³

et al. 2020

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

show abstract

“…Simultaneous operations are often performed in patients with hiatal hernias, in whom hernioplasty is combined with bariatric surgery and antireflux intervention is recommended [7,21]. In addition, hernioplasty is considered appropriate in urological surgeries [19,22] and in colorectal surgery [3,4].…”

Section: Discussionmentioning

confidence: 99%

Positive trend of Ukrainian surgeons’ attitude to simultaneous operations: analysis of survey results

Parkhomenko

Бойко

Kalinkina³

et al. 2020

Rep. of Morph.

View full text Add to dashboard Cite

In recent years, there has been an increase in attention to simultaneous operations, but their frequency does not meet real needs. The aim of the study was to determine the dynamics of surgeons’ awareness of simultaneous surgery in combined abdominal pathology. The results of the survey of surgeons of surgical inpatient departments of regional, district and city hospitals, as well as institutes and university clinics of Poltava, Sumy, Rivne, Kharkiv, Luhansk and Donetsk regions (except for territories not controlled by the Ukrainian authorities) were analyzed. The sample was random within a homogeneous general population of surgeons. The first survey, which included 724 doctors, was conducted in 2016. The re-survey, conducted in 2020, involved 153 doctors. The subject of the survey was the state of simultaneous surgical interventions in surgical departments departments and the personal attitude of specialists to this type of intervention. The comparison of the survey results in 2016 and in 2020 was carried out using the criterion χ2. In response to questions about the feasibility of simultaneous implementation, there is an increase in the proportion of doctors who consider these losses appropriate - from 86.3% to 96.7%. The following questions show that practicing surgeons are more likely to perform simultaneous interventions themselves - their share has increased from 66.3% to 86.3%. At the same time, the number of doctors with skills and knowledge of a related specialty increased by 20% (from 27% to 47.1%), however, it is still less than half of doctors. The share of physicians who consider it appropriate to master a related specialty to be able to perform a wider range of simultaneous interventions increased from 68.0% to 80.4%. The share of physicians with minimally invasive techniques to perform simultaneous operations increased from 26.0% to 55.6%. There is a positive trend in the attitude of practitioners to simultaneous operations. For the further development of simultaneous operations in combined pathology, it is necessary to train “endoscopic surgeons”, who must have the skills of related specialties.

show abstract

“…14,[16][17][18][19] The next most common indication was a unilateral non-functional kidney [20][21][22][23][24] which accounted for 11.3% of the cases. ESRD, 25,26 concurrent renal cell carcinoma in two cases, 11,26 autosomal dominant polycystic kidney disease, 11 bilateral complex renal cysts, 11 and multiple oncocytomas 23 were also indications in individual instances. Overall, out of 947 patients, 426 (45%) received radical cystectomy with bilateral concurrent nephroureterectomy (Table 2).…”

Section: Surgical Indication Bilateral Versus Unilateral Nephroureter...mentioning

confidence: 94%

Concurrent radical cystectomy and nephroureterectomy indications and outcomes: a systematic review and comparative analysis

Zein

Nasrallah

Heidar

et al. 2023

Therapeutic Advances in Urology

View full text Add to dashboard Cite

Introduction: Urothelial carcinoma can arise from the urinary bladder or from the upper urinary tract. In some instances, urinary bladder cancer (UBC) and upper tract urothelial carcinoma (UTUC) can be concurrently diagnosed, necessitating a combined radical cystectomy (RC) with radical nephroureterectomy (RNU). A systematic review was done on the combined procedure exploring outcomes and indications, in addition to a comparative analysis between the combined procedure and cystectomy alone. Methods: For the systematic review, three databases (Embase, PubMed, and Cochrane) were queried, selecting only studies that included intraoperative and perioperative data. For the comparative analysis, using the NSQIP database, CPT codes for RC and RNU were used to identify two cohorts, one with RC and RNU and one with RC alone. A descriptive analysis was performed on all preoperative variables, and propensity score matching (PSM) was performed. Postoperative events were then compared between the two matched cohorts. Results: For the systematic review, 28 relevant articles were included amounting to 947 patients who underwent the combined procedure. The most common indication was synchronous multifocal disease, the most common approach was open surgery, and the most common diversion technique was using an ileal conduit. Almost 28% of patients required blood transfusion and remained in the hospital for an average of 13 days. The most common postoperative complication was prolonged paralytic ileus. For the comparative analysis, 11,759 patients were included of which 97.5% underwent RC only and 2.5% underwent the combined procedure. After PSM, the cohort that had undergone the combined procedure showed an increased risk of renal injury, increased readmission rates, and increased reoperation rates. Whereas the cohort that had undergone RC only showed an increased risk of deep venous thrombosis (DVT), sepsis, or septic shock. Conclusion: A combined RC and RNU is a treatment option for concurrent UCB and UTUC that should be cautiously utilized as it is associated with high morbidity and mortality. Patient selection, discussion of the risks and benefits of the procedure, and explanation of the available treatment options remain the most important pillars in managing patients with this complex disease.

show abstract

Outcomes and Complications of Simultaneous Laparoscopic Cystectomy and Laparoscopic Nephroureterectomy with Umbilical Reduced Port Surgery

Cited by 4 publications

References 22 publications

Laparoscopic radical cystectomy and nephroureterectomy en bloc resection with lomboaortic and pelvic lymph node dissection

Laparoscopic radical cystectomy and nephroureterectomy en bloc resection with lomboaortic and pelvic lymph node dissection

Positive trend of Ukrainian surgeons’ attitude to simultaneous operations: analysis of survey results

Concurrent radical cystectomy and nephroureterectomy indications and outcomes: a systematic review and comparative analysis

Contact Info

Product

Resources

About