Advances in Urology / 2009 / Article / Tab 4

Review Article

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.

StudyNo. of patientsTumor gradeFollow-upOutcomes

Open technique

Matsui et al. [22]17 in OT 17 in SN14 patients OT arm and 13 in SN arm grade III8.8 months in OT and 23 months in SNNo difference in DFS
Klingler et al. [16]19 in OT 15 in SN15 patients in OT and 13 in SN arm grade II21.1 months in OT and 23.1 months in SNCCR and RTR similar in both arms

Transvesical laparoscopic technique

Gill et al. [12]42 in LT 35 in SN34 patients in LT arm and 28 in OS arm III tumors11.1 in LT and 34.4 months in SNCSS and TR comparable in both arms

Laparoscopic stapling technique

Shalhav et al. [13]25 in LT 17 in SN21 patients in LT arm and 14 in OS arm grade II24 months LT 43 months SNRTR lower in LT

The “pluck” technique

McNeill et al. [36]25 in PT 42 in SN18 patients in PT arm grade II and 36 patients in SN arm grade III32.9 months PT 42.3 months SNNo 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.

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