RESEARCH ARTICLE


Laparoscopic Nephroureterectomy: Oncologic Outcomes



Andre Berger , Amr Fergany*
Section of Laparoscopic and Robotic Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA


Article Metrics

CrossRef Citations:
0
Total Statistics:

Full-Text HTML Views: 1579
Abstract HTML Views: 1008
PDF Downloads: 299
ePub Downloads: 257
Total Views/Downloads: 3143
Unique Statistics:

Full-Text HTML Views: 727
Abstract HTML Views: 623
PDF Downloads: 195
ePub Downloads: 181
Total Views/Downloads: 1726



Creative Commons License
© Berger and Fergany; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Glickman Urological Institute/A100, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA; Tel: 216-444-0414; Fax: 216-445-2267; E-mail: fergana@ccf.org


Abstract

Purpose of Review:

Laparoscopic radical nephroureterectomy (LNU) is being increasingly performed at several centers across the world. This review analyzes the published perioperative and oncologic outcomes of this procedure.

Recent Findings:

Laparoscopic radical nephroureterectomy (LNU) for upper tract TCC is performed pure laparoscopically (LNU) or hand-assisted (HALNU). The most debated issues for oncologic outcomes are management of the distal ureter and lymphadenectomy. LNU appears to have superior perioperative outcomes when compared to open surgery. Although long-term outcomes after LNU are limited, intermediate term oncologic outcomes are comparable to open nephroureterectomy (ONU), the reference standard.

Summary:

Intermediate term oncologic outcomes for LNU compare well with ONU. Initial long-term oncologic outcomes are encouraging. Prospective randomized comparison between LNU and open surgery is needed to define the role of these modalities in the current context.

Keywords : Nephroureterectomy, laparoscopic, oncologic outcomes.