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Feasibility and Safety of Extraperitoneal Laparoscopic Extended Retroperitoneal Lymph Node Dissection at Time of Nephroureterectomy for Upper Tract Urothelial Carcinoma
Extended pelvic lymph node dissection in bladder carcinoma provides staging and, in selected patients, a survival benefit. Recent studies showed the therapeutic benefit of retroperitoneal lymph node dissection (RPLND) in advanced stage of upper tract urothelial carcinoma (UTUC). Also laparoscopic extended RPLND is still a technical challenge in urology, considering the high rate of severe complications and difficulties in manipulation. In Renji Hospital, laparoscopic extended RPLND at time of nephroureterectomy was performed via an extraperitoneal approach, avoiding interference with abdominal organs and achieving better exposure.The aim of the present study was to determine the safety and feasibility of performing an extraperitoneal laparoscopic extended RPLND at the time of radical nephroureterectomy (RNU) for UTUC in a prospectively collected cohort of patients.
Details
| Lead sponsor | RenJi Hospital |
|---|---|
| Status | UNKNOWN |
| Enrolment | 40 |
| Start date | Mon May 21 2018 00:00:00 GMT+0000 (Coordinated Universal Time) |
| Completion | Sun Mar 31 2019 00:00:00 GMT+0000 (Coordinated Universal Time) |
Conditions
- Upper Tract Urothelial Carcinoma
Interventions
- extraperitoneal laparoscopic extended retroperitoneal lymph node dissection
Countries
China