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

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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.

Key words： Bladder sleeve resection Nephroureterectomy Laparoscopy Urinary tract urothelial carcinoma Safety Effectiveness

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	ZHANG Xiaolin LEI Ruru ZHANG Yanru CHEN Huai’an

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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[J]. 中国医药导报, 2021, 18(9): 81-85.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I9/81

[1] 杨欣帼，金美善，郭亮，等.肾移植术后同侧输尿管原发性小细胞癌后对侧输尿管及膀胱尿路上皮癌一例[J].中华病理学杂志，2019，48（9）：735-736.
[2] Freifeld Y，Krabbe LM，Clinton TN，et al. Therapeutic strategies for upper tract urothelial carcinoma [J]. Expert Review of Anticancer Ther，2018，18（8）：765-774.
[3] 张明，李春林，顾雪梅.上尿路尿路上皮癌经腹腔完全腹腔镜肾输尿管全长切除术治疗后的预后分析[J].湖南师范大学学报：医学版，2018，15（4）：148-151.
[4] 张殿锋.经腹与经腹膜后腹腔镜肾输尿管全长切除治疗上尿路尿路上皮癌的临床研究[J].实用癌症杂志，2018， 33（3）：489-492.
[5] 黎春明，胡嘏，余虓.腹腔镜根治性肾输尿管全切+区域淋巴结清扫治疗上尿路尿路上皮癌的临床疗效[J].现代泌尿生殖肿瘤杂志，2018，10（4）：193-197.
[6] Farnum JA，Vikram R，Rao A，et al. Accuracy of High-Frequency Endoluminal Ultrasonography for Clinical Staging of Upper Tract Urothelial Carcinoma [J]. J Endourol，2018，32（9）：806-811.
[7] 戴志红，白杰，刘志宇，等.Ⅰ期完全腹腔镜单侧肾、输尿管及全膀胱根治性切除术治疗上尿路尿路上皮癌合并膀胱癌效果观察[J].肿瘤研究与临床，2017，29（9）：628-630.
[8] 黎桂源，蒋双键，莫承强，等.原发性上尿路上皮癌术后膀胱灌注化疗在预防膀胱癌复发中的作用——系统综述及Meta分析[J].现代泌尿外科杂志，2019，24（9）：733-740.
[9] 岳峰，王霞，王斯炎，等.后腹腔镜肾输尿管全长切除术联合3种输尿管膀胱壁内段切除方式在上尿路尿路上皮癌中的应用体会[J].中国医药指南，2016，14（36）：81-82.
[10] 李雪锋，马晋鄂.经尿道电凝联合后腹腔镜下肾输尿管切除术对尿路上皮癌患者近期预后影响研究[J].国际泌尿系统杂志，2016，36（4）：509-512.
[11] 邢云超，熊耕砚，方东，等.非肌层浸润性上尿路尿路上皮癌5年随访生存分析及其预后相关因素研究[J].中华泌尿外科杂志，2016，37（3）：190-194.
[12] 魏后忆，孙剑，蒋一航，等.腹腔镜Boari膀胱壁瓣法输尿管膀胱再植术治疗中下段输尿管尿路上皮癌的临床效果[J].首都医科大学学报，2020，41（4）：547-551.
[13] 郝韶伟，曹晓明.后腹腔镜下行上尿路上皮癌根治术2种输尿管末端处理方式的疗效比较[J].现代泌尿外科杂志，2020，25（2）：121-124，137.
[14] 张立进，查振雷，赵虎，等.伴原位癌的上尿路尿路上皮癌患者行根治性肾输尿管切除术的预后荟萃分析[J].中华泌尿外科杂志，2020，41（1）：51-56.
[15] 姜云中，吴斌，白松，等.经腹腔与经后腹腔镜手术治疗上尿路上皮癌的疗效比较[J].现代泌尿外科杂志，2020， 25（6）：513-517.
[16] 徐海，王艺臻.上尿路尿路上皮癌输尿管末端处理方式的研究进展[J].临床泌尿外科杂志，2018，33（6）：494-496，501.
[17] 韩登俊，梁勇，黄凤鸣，等.经腹腔完全腹腔镜肾输尿管切除治疗上尿路移行细胞癌的效果观察[J].广西医学，2016，38（5）：729-731.
[18] 万里军，童炎岳，徐毅，等.完全腹腔镜根治性肾输尿管切除术联合区域淋巴清扫治疗肾盂输尿管癌的疗效观察[J].临床泌尿外科杂志，2016，31（2）：162-165.
[19] 郑鹏，傅点，徐晓峰，等.腹膜后全腹腔镜下肾输尿管全长切除术治疗上尿路尿路上皮癌[J].现代泌尿生殖肿瘤杂志，2019，11（1）：20-23.
[20] 徐玉节，候腾，李兵，等.经腹入路一站式腹腔镜肾脏-输尿管-膀胱袖状切除术治疗上尿路尿路上皮癌的临床研究[J].临床泌尿外科杂志，2019，34（2）：109-112.
[21] 魏澎涛，孟庆婷，张寒，等.改良经腹入路全腹腔镜下上尿路上皮癌根治术的临床研究[J].中国内镜杂志，2020， 26（1）：70-73.
[22] 管考鹏，关有彦，肖振东，等.单一体位经腹腔途径完全腹腔镜肾输尿管切除术+膀胱袖口状切除术的方法与技巧[J].中华泌尿外科杂志，2020，41（6）：454-458.
[23] 韩起鹏，陈宇，邱华勇，等.经尿道输尿管口电切联合后腹腔镜治疗肾盂及上段输尿管尿路上皮癌[J].现代肿瘤医学，2017，25（3）：428-430.
[24] 吴进锋，林榕城，林友成，等.肾输尿管全长切除术两种不同术式的双中心疗效对比[J].北京大学学报：医学版，2019，51（4）：646-652.
[25] 林榕城，周朝晖，钟文龙，等.完全腹膜后镜肾输尿管全长切除术治疗上尿路尿路上皮癌的临床分析[J].现代泌尿外科杂志，2018，23（10）：748-751.