Abstract：Objective To analyze the effect of total laparoscopic nephroureterectomy and bladder sleeve resection in patients with urinary tract urothelial carcinoma. Methods A total of 80 patients with ureteral urothelial carcinoma who underwent surgical treatment in the First Affiliated Hospital of Hebei North University from March 2013 to March 2018 were selected as the subjects. According to different treatment methods, they were divided into conventional group (40 cases) and experimental group (40 cases). In the conventional group, laparoscopic nephreterectomy, bladder sleeve resection and distal ureteral open treatment were performed. The experimental group was treated with total laparoscopic nephroureterectomy and bladder sleeve resection. The amount of blood loss during operation, operative time, postoperative fasting time, catheter removal time, drainage tube removal time and postoperative hospitalization time were compared between the two groups. The pathological classification and pathological stages, recurrence rate and survival rate, prognosis of disease were compared between the two groups. Results The amount of blood loss during operation in the experimental group was lower than that in the conventional group, and the operative time, postoperative fasting time, catheter removal time, drainage tube removal time and postoperative hospital stay in the experimental group were all shorter than those in the conventional group, with statistical significance (P ＜ 0.05). There was no significant difference in the pathological grade and stage between the two groups (P ＞ 0.05). There was no significant difference in recurrence rate between the two groups (P ＞ 0.05). After 24 months of continuous follow-up, the survival rate of the experimental group was higher than that of the conventional group, and the difference was statistically significant (P ＜ 0.05). Conclusion Ureteral urothelial carcinoma using total laparoscopic renal length of ureteral resection and bladder cuff resection treatment, can reduce blood loss during operation, and promote the patients’ body recovery, shorter hospital stay, and thus improve disease-free survival rate of patients, at the same time during surgery patient position without transformation, to a certain extent, reduce the operation time, has high efficacy and safety, at the same time combined the corresponding nursing measures to further enhance the efficacy of treatment.
张晓林 雷茹茹 张燕茹 陈怀安. 输尿管尿路上皮癌行完全腹腔镜下肾输尿管全长切除、膀胱袖状切除术的治疗效果[J]. 中国医药导报, 2021, 18(9): 81-85.
ZHANG Xiaolin LEI Ruru ZHANG Yanru CHEN Huai’an. Effect of total laparoscopic nephroureterectomy and bladder sleeve resection in the treatment of urinary tract urothelial carcinoma. 中国医药导报, 2021, 18(9): 81-85.
2021, Vol. 18 
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