Open AccessOncological impact of different distal ureter managements during radical nephroureterectomy for primary upper urinary tract urothelial carcinoma
Author(s) -
Shicong Lai,
Pengjie Wu,
Jianyong Liu,
Samuel Seery,
Shengjie Liu,
Xingbo Long,
Ming Liu,
JianYe Wang
Publication year - 2020
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v8.i21.5104
Subject(s) - medicine , cuff , upper urinary tract , urology , ureter , perioperative , bladder cancer , proportional hazards model , stage (stratigraphy) , urinary system , log rank test , surgery , demographics , urothelial carcinoma , cancer , paleontology , demography , sociology , biology
The current standard surgical treatment for non-metastatic upper urinary tract urothelial carcinoma (UTUC) is radical nephroureterectomy (RNU) with bladder cuff excision (BCE). Typically, BCE techniques are classified in one of the following three categories: An open technique described as intrasvesical incision of the bladder cuff, a transurethral incision of the bladder cuff (TUBC), and an extravesical incision of the bladder cuff (EVBC) method. Even though each of these management techniques are widely used, there is no consensus about which surgical intervention is superior, with the best oncologic outcomes.