Laparoscopic nephroureterectomy for upper tract urothelial carcinoma e Update

doi:10.1016/j.ajur.2016.05.003

Asian Journal of Urology, 2016, 3 (3): 115-119 doi: 10.1016/j.ajur.2016.05.003

Review

Current Issue | Archive | Adv Search

Laparoscopic nephroureterectomy for upper tract urothelial carcinoma e Update

Victor C. Lin^a,b, Chung-hsien Chen^a, Allen W. Chiu^c

a Department of Urology, E-Da Hospital, Kaohsiung;
b School of Medicine for International Students, I-Shou University, Kaohsiung;
c Department of Urology, School of Medicine, National Yang-Ming University, Taipei

Abstract
Related Citation (3)

Download:

HTML

PDF (401KB)
Export: BibTeX | EndNote (RIS)

Abstract Upper urinary tract urothelial carcinomas (UTUCs) are uncommon and account for only 5%e10% of urothelial carcinomas. Pyelocaliceal tumors are about twice as common as ureteral tumors. Sixty percent of UTUCs are invasive at diagnosis. Radical nephroureterectomy, including the excision of the distal ureter and bladder cuff is standard of care for treatment of localized UTUCs, because of the high potential for recurrence, multifocality, and progression. Since first laparoscopic nephroureterectomy (LNU) was introduced by Clayman et al. in 1991 and improvement of laparoscopic technique and equipment, LNU has been reported to be equivalent to conventional open method. We reviewed the current literature of patients with UTUCs treated by LNU focusing on technical aspects, peri-operative and oncological outcomes. Laparoscopic radical nephroureterectomy offers the advantages of minimally invasive surgery without deteriorating the oncological outcome for treatment of UTUCs. Indications tend to increase as operator skills increase. Indications for laparoscopic or open nephroureterectomy are in principle the same. The basic requirement for laparoscopic surgery in UTUCs is to achieve benefits of minimal invasive surgery and maintain oncologic principles.

Key words： Urothelial carcinoma Upper urinary tract Laparoscopic nephroureterectomy

Received: 01 March 2016 Published: 05 July 2016

Corresponding Authors: Allen W. Chiu E-mail: whchiu@ym.edu.tw

	Service
	E-mail this article
	Add to citation manager
	E-mail Alert
	Articles by authors
	Victor C. Lin
	Chung-hsien Chen
	Allen W. Chiu

TRENDMD:

Cite this article:

Victor C. Lin,Chung-hsien Chen,Allen W. Chiu. Laparoscopic nephroureterectomy for upper tract urothelial carcinoma e Update[J]. Asian Journal of Urology, 2016, 3(3): 115-119.

URL:

http://www.ajurology.com/EN/10.1016/j.ajur.2016.05.003 OR http://www.ajurology.com/EN/Y2016/V3/I3/115

[1]	Munoz JJ, Ellison LM. Upper tract urothelial neoplasms: incidence and survival during the last 2 decades. J Urol 2000;164: 1523-5.
[2]	Cosentino M, Palou J, Gaya JM, Breda A, Rodriguez-Faba O, Villavicencio-Mavrich H. Upper urinary tract urothelial cell carcinoma: location as a predictive factor for concomitant bladder carcinoma. World J Urol 2013;31:141-5.
[3]	Clayman RV, Kavoussi LR, Figenshau RS, Chandhoke PS, Albala DM. Laparoscopic nephroureterectomy: initial clinical case report. J Laparoendosc Surg 1991;1:343-9.
[4]	Ni S, Tao W, Chen Q, Liu L, Jiang H, Hu H, et al. Laparoscopic versus open nephroureterectomy for the treatment of upper urinary tract urothelial carcinoma: a systemic review and cumulative analysis of comparative studies. Eur Urol 2012;61: 1142-53.
[5]	Tinay I, Gelpi-Hammerschmidt F, Leow JJ, Allard CB, Rodriguez D, Wang Y, et al. Trends in utilization, perioperative outcomes and costs for nephroureterectomies in the management of upper tract urothelial carcinoma: a 10-year population-based analysis. BJU Int 2016;117:950-60.
[6]	Chung SD, Chen SC,Wang SM, Chueh SC, Lai MK, Huang CY, et al. Long-term outcome of hand-assisted laparoscopic nephroureterectomy for pathologic T3 upper urinary tract urothelial carcinoma. J Endourol 2009;23:75-80.
[7]	Rose K, Khan S, Godbole H, Olsburgh J, Dasgupta P. Robotic assisted retroperitoneoscopic nephroureterectomy e first experience and the hybrid port technique. Int J Clin Pract 2006; 60:12-4.
[8]	Pugh J, Parekattil S, Willis D, Stifelman M, Hemal A, Su LM. Perioperative outcomes of robot-assisted nephroureterectomy for upper urinary tracturothelial carcinoma: amulti-institutional series. BJU Int 2013;112:295-300.
[9]	Liu W, Wang Y, Zhong Z, Jiang H, Ouyang S, Zhu L, et al. Transperitoneal versus retroperitoneal laparoscopic nephroureterectomy in the management of upper urinary tract urothelial carcinoma: a matched-pair comparison based on perioperative outcomes. Surg Endosc 2016; PMID: 27129558 [Epub ahead of print].
[10]	Cummings KB. Nephroureterectomy: rationale in the management of transitional cell carcinoma of the upper urinary tract. Urol Clin North Am 1980;7:569-78.
[11]	Lughezzani G, Sun M, Perrotte P, Shariat SF, Jeldres C, Budaus L, et al. Should bladder cuff excision remain the standard of care at nephroureterectomy in patients with urothelial carcinoma of the renal pelvis? A population-based study. Eur Urol 2010;57:956-62.
[12]	Phe′ V, Cussenot O, Bitker MO, Roupret M. Does the surgical technique for management of the distal ureter influence the outcome after nephroureterectomy? BJU Int 2011;108:130-8.
[13]	Macejko AM, Pazona JF, Loeb S, Kimm S, Nadler RB. Management of distal ureter in laparoscopic nephroureterectomy e a comprehensive review of techniques. Urology 2008;72: 974-81.
[14]	Xylinas E, Rink M, Cha EK, Clozel T, Lee RK, Fajkovic H, et al. Impact of distal ureter management on oncologic outcomes following radical nephroureterectomy for upper tract urothelial carcinoma. Eur Urol 2014;65:210-7.
[15]	Stravodimos KG, Komninos C, Kural AR, Constantinides C. Distal ureterectomy techniques in laparoscopic and robotassisted nephroureterectomy: updated review. Urol Ann 2015;7:8-16.
[16]	Arango O, Bielsa O, Carles J, Gelabert-Mas A. Massive tumor implantation in the endoscopic resected area in modified nephroureterectomy. J Urol 1997;157:1839.
[17]	Zou X, Zhang G, Wang X, Yuan Y, Xiao R, Wu G, et al. A oneport pneumovesicum method in en bloc laparoscopic nephroureterectomy with bladder cuff resection is feasible and safe for upper tract transitional cell carcinoma. BJU Int 2011; 108:1497-500.
[18]	Cormio L, Selvaggio O, Di Fino G, Massenio P, Annese P, de la Rosette J, et al. Transurethral distal ureter balloon occlusion and detachment: a simple means ofmanaging the distal ureter during radical nephroureterectomy. J Endourol 2013;27:139-42.
[19]	Hattori R, Yoshino Y, Gotoh M, Katoh M, Kamihira O, Ono Y. Laparoscopic nephroureterectomy for transitional cell carcinoma of renal pelvis and ureter: nagoya experience. Urol 2006;67:701-5.
[20]	Venkatesh R, Rehman J, Landman J, Lee D, Ragab ME, Sundaram CP, et al. Determination of cell viability after laparoscopic tissue stapling in a porcine model. J Endourol 2005;19:744-7.
[21]	Ritch CR, Kearns JT, Mues AC, Hruby GW, Benson MC, McKiernan JM, et al. Comparison of distal ureteral management strategies during laparoscopic nephroureterectomy. J Endourol 2011;25:1149-54.
[22]	Kim DS, Lee YH, Cho KS, Cho NH, Chung BH, Hong SJ. Lymphovascular invasion and pT stage are prognostic factors in patients treated with radical nephroureterectomy for localized upper urinary tract transitional cell carcinoma. Urology 2010;75:328-32.
[23]	Kondo T, Hashimoto Y, Kobayashi H, Iizuka J, Nakazawa H, Ito F, et al. Template-based lymphadenectomy in urothelial carcinoma of the upper urinary tract: impact on patient survival. Int J Urol 2010;17:848-54.
[24]	Abe T, Shinohara N, Muranaka M, Sazawa A, Maruyama S, Osawa T, et al. Role of lymph node dissection in the treatment of urothelial carcinoma of the upper urinary tract: multi-institutional relapse analysis and immunohistochemical reevaluation of negative lymph nodes. Eur J Surg Oncol 2010; 36:1085-91.
[25]	Lughezzani G, Jeldres C, Isbarn H, Shariat SF, Sun M, Pharand D, et al. A critical appraisal of the value of lymph node dissection at nephroureterectomy for upper tract urothelial carcinoma. Urology 2010;75:118-24.
[26]	Roscigno M, Shariat SF, Margulis V, Karakiewicz PI, Remzi M, Kikuchi E, et al. Impact of lymph node dissection on cancer specific survival in patients with upper tract urothelial carcinoma treated with radical nephroureterectomy. J Urol 2009; 181:2482-9.
[27]	Roscigno M, Brausi M, Heidenreich A, Lotan Y, Marqulis V, Shariat SF, et al. Lymphadenectomy at the time of nephroureterectomy for upper tract urothelial cancer. Eur Urol 2011;60:776-83.
[28]	Melquist JJ, Redrow G, Delacroix S, Park A, Faria EE, Karam JA, 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.
[29]	Jens JR, Michael S, Reinaldo M, Thomas F, Juan PR, Pierfrancesco B. Laparoscopic nephroureterectomy for upper urinary tract transitional cell carcinoma: is it better than open Surgery? Eur Urol 2004;46:690-7.
[30]	Naderi N, Nieuwenhuijzen JA, Bex A, Kooistra A, Horenblas S. Port site metastasis after laparoscopic nephro-ureterectomy for transitional cell carcinoma. Eur Urol 2004;46:440-1.
[31]	Simone G, Papalia R, Guaglianone S, Ferriero M, Leonardo C, Forastiere E, et al. Laparoscopic versus open nephroureterectomy: perioperative and oncologic outcomes from a randomised prospective study. Eur Urol 2009;56:520-6.
[32]	Ariane MM, Colin P, Ouzzane A, Pignot G, Audouin M, Cornu JN, et al. Assessment of oncologic control obtained after open versus laparoscopic nephroureterectomy for upper urinary tract urothelial carcinomas (UUT-UCs): results from a large French multicenter collaborative study. Ann Surg Oncol 2012; 19:301-8.
[33]	Favaretto RL, Shariat SF, Chade DC, Godoy G, Kaaq M, Cronin AM, et al. Comparison between laparoscopic and open radical nephroureterectomy in a contemporary group of patients: are recurrence and disease-specific survival associated with surgical technique? Eur Urol 2010;58:645-51.
[34]	Miyazaki J, Nishiyama H, Fujimoto H, Ohyama C, Koie T, Hinotsu S, et al. Laparoscopic versus open nephroureterectomy in muscle-invasive upper tract urothelial carcinoma: subanalysis of the multi-institutional national database of the Japanese urological association. J Endourol 2016;30: 520-5.