Evaluation of Two Ureter Sealing Methods During Radical Nephroureterectomy
Vol. 17 No. 2 (2020),
16 March 2020
AbstractPurpose: To investigate the safety of electrocoagulation and thulium laser (Tm-laser) sealing methods of distal ureter resection during radical nephroureterectomy (NFU) in a porcine model.
Methods: 9 pigs were used in the study: 6 were used to measure the bursting pressure (BP) and 3 were used to measure the highest pressure during NFU. Twelve ureters were to measure BP after being sealed by electrocoagulation or Tm-laser (n = 6, each). Six experimental NFUs were performed in 3 pigs to measure the intraluminal pressure of all procedures.
Results: The mean BP in the electrocoagulation group (104.3 ± 25.0 cmH2O) was similar to that of the Tm-laser group (74.8 ± 23.3 cmH2O, P > .05). The peak intraluminal pressure (35.9 ± 7.6 cmH2O) during NFU was significantly lower than the BP (P < .05).
Conclusion: The effectiveness of the sealing was confirmed using both electrocoagulation and Tm-laser during NFU.
How to Cite
Seisen T, Peyronnet B, Dominguez-Escrig JL, Bruins HM, Yuan CY et al. Oncologic Outcomes of Kidney-sparing Surgery Versus Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma: A Systematic Review by the EAU Non-muscle Invasive Bladder Cancer Guidelines Panel. European urology 2016; 70: 1052-68.
Jung M, Kim B, Moon KC. Immunohistochemistry of CK5/6, CD44, and CK20 as prognostic biomarkers of non-muscle-invasive papillary upper tract urothelial carcinoma. 2018.
Nazzani S, Preisser F, Mazzone E, Marchioni M, Bandini M et al. Survival Effect of Chemotherapy in Metastatic Upper Urinary Tract Urothelial Carcinoma. Histopathology 2018.
Baumgarten L, Alanee S. Proteinaceous Renal Stones in a Kidney Transplant Candidate Presenting as Bilateral Filling Defects Suspicious for Upper Urinary Tract Transitional Cell Carcinoma. Urology 2018.
Dong F, Xu T, Wang X, Shen Y, Zhang X et al. Lymph node dissection could bring survival benefits to patients diagnosed with clinically node-negative upper urinary tract urothelial cancer: a population-based, propensity score-matched study. 2018.
Palsgrove DN, Taheri D, Springer SU, Cowan M, Guner G et al. Targeted sequencing of Plasmacytoid urothelial carcinoma reveals frequent TERT promoter mutations. Human pathology 2018.
Fragkoulis C, Pappas A, Papadopoulos GI, Stathouros G, Fragkoulis A et al. Transurethral resection versus open bladder cuff excision in patients undergoing nephroureterectomy for upper urinary tract carcinoma: Operative and oncological results. Arab journal of urology 2017; 15: 64-7.
Melquist JJ, Redrow G, Delacroix S, Park A, Faria EE et al. Comparison of Single-docking Robotic-assisted and Traditional Laparoscopy for Retroperitoneal Lymph Node Dissection During Nephroureterectomy With Bladder Cuff Excision for Upper-tract Urothelial Carcinoma. Urology 2016; 87: 216-23.
Elawdy MM, Osman Y, Taha DE, El-Halwagy S, El-Mekresh M. Coincidental Bladder Cuff Transitional Cell Carcinoma in Nephroureterectomy Specimens: Risk Factors, Prognosis and Clinical Implementation. Urology journal 2018; 15: 256-60.
Lee HY, Yeh HC, Wu WJ, He JS, Huang CN et al. The diagnostic ureteroscopy before radical nephroureterectomy in upper urinary tract urothelial carcinoma is not associated with higher intravesical recurrence. World journal of surgical oncology 2018; 16: 135.
Walton TJ, Sherwood BT, Parkinson RJ, Obakponovwe O, Thomas SA et al. Comparative outcomes following endoscopic ureteral detachment and formal bladder cuff excision in open nephroureterectomy for upper urinary tract transitional cell carcinoma. The Journal of urology 2009; 181: 532-9.
Keeley FX, Jr., Tolley DA. Laparoscopic nephroureterectomy: making management of upper-tract transitional-cell carcinoma entirely minimally invasive. Journal of endourology 1998; 12: 139-41.
Koguchi D, Matsumoto K, Ikeda M, Taoka Y, Hirayama T et al. Investigation of estimated glomerular filtration rate and its perioperative change in patients with upper urinary tract urothelial carcinoma: A multi-institutional retrospective study. 2018.
Raman JD, Park R. Endoscopic management of upper-tract urothelial carcinoma. Expert review of anticancer therapy 2017; 17: 545-54.
Utsunomiya T, Matsuda D, Okuno N, Irie A, Iwamura M et al. Oncological Outcomes of Laparoscopic Nephroureterectomy Versus Open Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma: An European Association of Urology Guidelines Systematic Review. Asia-Pacific journal of clinical oncology 2017.
Pang K, Liu SB, Wei HB, Zhuo J, Li ML et al. Two-micron thulium laser resection of the distal ureter and bladder cuff during nephroureterectomy for upper urinary tract urothelial carcinoma. Lasers in medical science 2014; 29: 621-7.
Upfill-Brown A, Lenis AT, Faiena I, Salmasi AH, Johnson DC et al. Treatment utilization and overall survival in patients receiving radical nephroureterectomy versus endoscopic management for upper tract urothelial carcinoma: evaluation of updated treatment guidelines. World journal of urology 2018.
Annan AC, Stevens KA, Osunkoya AO. Urothelial carcinoma involving the ureteral orifice: a clinicopathologic analysis of 93 cases. Human pathology 2017; 65: 101-6.
Ha YS, Chung JW, Choi SH, Lee JN, Kim BS et al. Impact of a bladder cuff excision during radical nephroureterectomy on cancer specific survival in patients with upper tract urothelial cancer in Korea: a retrospective, multi-institutional study. Minerva urologica e nefrologica = The Italian journal of urology and nephrology 2017; 69: 466-74.
Pai A, Hussain M, Hindley R, Emara A, Barber N. Long-Term Outcomes of Laparoscopic Nephroureterectomy with Transurethral Circumferential Excision of the Ureteral Orifice for Urothelial Carcinoma. Journal of endourology 2017; 31: 651-4.
Peyronnet B, Seisen T, Dominguez-Escrig JL, Bruins HM, Yuan CY et al. Oncological Outcomes of Laparoscopic Nephroureterectomy Versus Open Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma: An European Association of Urology Guidelines Systematic Review. European urology focus 2017.
Berger A, Fergany A. Laparoscopic nephroureterectomy: oncologic outcomes and management of distal ureter; review of the literature. Advances in urology 2009: 826725.
Giannakopoulos S, Toufas G, Dimitriadis C, Giannopoulos S, Kalaitzis C et al. Laparoscopic transvesical resection of an en bloc bladder cuff and distal ureter during nephroureterectomy. TheScientificWorldJournal 2012; 2012: 658096.
Park YH, Park SY, Kim HH. Laparoendoscopic single-site nephroureterectomy with bladder cuff excision for upper urinary tract transitional-cell carcinoma: technical details based on oncologic principles. Journal of endourology 2010; 24: 563-6.
Lai WR, Lee BR. Techniques to resect the distal ureter in robotic/laparoscopic nephroureterectomy. Asian journal of urology 2016; 3: 120-5.
Ito A, Shintaku I, Satoh M, Ioritani N, Tochigi T et al. Intravesical seeding of upper urinary tract urothelial carcinoma cells during nephroureterectomy: an exploratory analysis from the THPMG trial. Japanese journal of clinical oncology 2013; 43: 1139-44.
Schwartzmann I, Pastore AL, Sacca A, Territo A, Pisano F et al. Upper Urinary Tract Urothelial Carcinoma Tumor Seeding along Percutaneous Nephrostomy Track: Case Report and Review of the Literature. Urologia internationalis 2017; 98: 115-9.
Tan P, Xie N, Yang L, Liu L, Tang Z et al. Diagnostic Ureteroscopy Prior to Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma Increased the Risk of Intravesical Recurrence. Urologia internationalis 2018; 100: 92-9.
- Abstract Viewed: 313 times
- pdf/4920 Downloaded: 105 times