Clinical Study
A Modified Single Mini-Incision Complete Urinary Tract Exenteration for Urothelial Carcinoma in Dialysis Patients
Table 1
Patient demographics and perioperative parameters.
| Pt | Age (y) | Duration of HD (yr) | BMI (kg/m2) | ECOG | Clinically surgical indication | Hydronephrosis | Pathologic tumor location (T stage)a | Comorbidity |
| 1 | 63 | 9 | 21.4 | 0 | UB & LU | Left | UB(is) & LU(1) LK ccRCC(1a) | HTN | 2 | 50 | 14 | 21.7 | 0 | UB & RU | Right | UB(1) & RU(3) | HTN | 3 | 61 | 8 | 25.9 | 1 | UB & RU** | Right | UB(a) & RU(a) | HTN, HCC, cirrhosis, hepatitis B & C, SHPT | 4 | 75 | 6 | 31.5 | 0 | UB & LU LK | Left | UB(a) & LU(a) LK(a) | None | 5 | 63 | 17 | 17.1 | 1 | UB & LK | Bilateral | UB(1) & LK(3) LU(a) | HTN, hepatitis C, pulmonary TB | 6 | 52 | 4 | 31.8 | 0 | UB & RK | No | UB(1) & RK(1) | HTN, DM | 7 | 67 | 1 | 20.4 | 1 | BK & RU | Right | BK(a) & RU(1) | HTN, CHF | 8 | 80 | 6 | 17.0 | 1 | UB & LU** | Bilateral | UB(2a) & LU(a) RK(a) & RU(a) | HTN, DM, moderate MR | 9 | 58 | 9 | 21.3 | 1 | UB & RU | No | UB(is) & RU(1) LU(is) | SHPT | 10 | 70 | 2 | 22.6 | 1 | UB & RU** | Right | UB(1) & RU(1) | HTN, old CVA, parkinsonism | 11 | 57 | 8 | 22.2 | 1 | UB** | Left | UB(2a) LU(is) & RU(3) | SHPT | 12 | 57 | 13 | 17.3 | 1 | UB** | Left | UB(1) | Pulmonary TB | 13 | 53 | 10 | 21.5 | 0 | UB | No | UB(1) LU(a) | HTN, hepatitis B | 14 | 48 | 11* | 21.2 | 1 | UB | Left | UB(1) | HTN, hepatitis C, SHPT, peritonitis*** |
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HD, hemodialysis; BMI, body mass index; ECOG, eastern cooperative oncology group performance status; UB, urinary bladder; LU, left ureter; RU, right ureter; LK, left kidney; RK, right kidney; BK, bilateral kidney; ccRCC, clear cell renal cell carcinoma; HTN, hypertension; HCC, hepatocellular carcinoma; SHPT, secondary hyperparathyroidism; TB, tuberculosis; DM, diabetes mellitus; CHF, congestive heart failure; CVA, cardiovascular accident.
aAll patients had high-grade urothelial carcinoma.
*Peritoneal dialysis.
**Surgical indication was recurrent urothelial cancer.
***Continuous ambulatory peritoneal dialysis (CAPD) related sclerosing peritonitis.
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