Comprehensive Management of Upper Tract Urothelial Carcinoma

Table 4

Studies that compare techniques for the management of distal ureter end bladder cuff with other methods of treatment.

Study	No. of patients	Tumor grade	Follow-up	Outcomes
Open technique
Matsui et al. [22]	17 in OT 17 in SN	14 patients OT arm and 13 in SN arm grade III	8.8 months in OT and 23 months in SN	No difference in DFS
Klingler et al. [16]	19 in OT 15 in SN	15 patients in OT and 13 in SN arm grade II	21.1 months in OT and 23.1 months in SN	CCR and RTR similar in both arms
Transvesical laparoscopic technique
Gill et al. [12]	42 in LT 35 in SN	34 patients in LT arm and 28 in OS arm III tumors	11.1 in LT and 34.4 months in SN	CSS and TR comparable in both arms
Laparoscopic stapling technique
Shalhav et al. [13]	25 in LT 17 in SN	21 patients in LT arm and 14 in OS arm grade II	24 months LT 43 months SN	RTR lower in LT
The “pluck” technique
McNeill et al. [36]	25 in PT 42 in SN	18 patients in PT arm grade II and 36 patients in SN arm grade III	32.9 months PT 42.3 months SN	No difference in TR

SN: standard nephroureterectomy, OT: open technique, CCR: cancer control rate, RTR: risk of tumor recurrence, CSS: cancer specific survival, TR: tumor recurrence, ORN: open radical nephroureterectomy, PT: “pluck” technique.