Laparoscopic Nephroureterectomy: Oncologic Outcomes

Berger , Andre; Fergany, Amr

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 Information

Identifiers and Pagination:

Year: 2008
Volume: 1
First Page: 22
Last Page: 25
Publisher ID: TOUNJ-1-22
DOI: 10.2174/1874303X00801010022

Article History:

Received Date: 28/2/2008
Revision Received Date: 2/4/2008
Acceptance Date: 12/4/2008
Electronic publication date: 29/4/2008
Collection year: 2008

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© 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

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.

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Institute of Biology
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RESEARCH ARTICLE

Laparoscopic Nephroureterectomy: Oncologic Outcomes

Article Information

Identifiers and Pagination:

Article History:

Article Metrics

CrossRef Citations:

Total Statistics:

Unique Statistics:

Abstract

Purpose of Review:

Recent Findings:

Summary:

Track Your Manuscript

Published Contents

About the Editor

About the Journal

The Open Urology & Nephrology Journal

Journal Metrics

Readership Statistics:

Total Views/Downloads: 1,452,638

Unique Views/Downloads: 262,732

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