Department of Urology, Peking University First Hospital, Peking
University Urologic Institute, National Urological Cancer Center,
Beijing 100034, china
Objective: To discuss the surgical skills and clinical value of
complete transperitoneal laparoscopic nephroureterectomy.
Methods: We prospectively collected and analyzed the clinical
data of 32 patients (renal pelvic carcinoma 20 and carcinoma
of ulreter 12, right side 19 and left side 13) who underwent
complete transperitoneal laparoscopic nephroureterectomy for
the Upper urinary tract urothelial carcinoma (UUT-UC) in our
hospital from May 2010 to December 2011.
Results: All the operations were successfully done by one
surgeon by standard 4 or 5 trocars technique. The mean
operative time was 145 min (115-190 min), the blood loss was
about 10-300 mL (mean 70 mL) and no severe complications
observed. The postoperative hospital stay was 4-6 days with an
average length of 5.4 days.
Conclusions: Complete transperitoneal laparoscopic
nephroureterectomy is a minimally invasive, safe and effective
way to treat UUT-UC. Patients recover soon and have a shorter
length of stay.