UTUC 腹腔镜手术治疗进展
摘要
上尿路上皮癌是一种发病率相对较低的泌尿系肿瘤,起病隐匿,诊断困难,手术是唯一可能彻 底治愈上尿路上皮癌的方法。由于上尿路上皮癌手术需要切除组织范围广,为了兼顾手术效果和减少创伤,国 内外开展了多种根治性手术方式的研究。本文主要回顾和总结完全开放手术、腹腔镜联合下腹开放手术和单一 体位完全腹腔镜手术等治疗 UTUC的手术方法,比较各种术式优缺点。参考
[1] Gontero P,Comperat E,Sylvester RJ,et
al.EuropeanAssociation of Urology Guidelines on Upper
Urinary Tract Urothelial Carcinoma: 2017 Update[J].Eur
Urol,2018,73(1) :111-122.
[2] 中国医师协会泌尿外科医师分会肿瘤专业委
员会,中国医师协会泌尿外科医师分 会上尿路尿路上
皮癌 (CUDA-UTUC) 协作组 . 上尿路尿路上皮癌诊断
与治疗中国专家共识 [J] 中华泌尿外科杂志 2018,39(7)
485-487.
[3] Xylinas E,Scherr DS,Karakiewicz PI,et al.
Urothelialcarcinoma of the bladder and the upper tract:
Disparate twins[J].J Urol,2013,89(4) :1214-1221
[4] 程文 , 高建平,张征宇,等 . Ⅱ级膀胱尿路上
皮癌 microRNA 差异表达及意义 [J].医学研究生学报,
2010,23(1):48-52.
[5] 中国人群上尿路尿路上皮癌诊疗策略选择和
东西方差异 [J]. 周利群 , 熊耕砚 , 李学松 . 临床泌尿外
科杂志 .2019(02).
[6] European Association of Urology Guidelines
on Upper Urinary Tract Urothelial Carcinoma: 2020
Update [J] . Morgan Rouprêt,Marko Babjuk,Maximilian
Burger,Otakar Capoun,Daniel Cohen,Eva M.
Compérat,Nigel C. Cowan,Jose L. DominguezEscrig,Paolo Gontero,A. Hugh Mostafid,Joan Palou,Benoit
Peyronnet,Thomas Seisen,Viktor Soukup,Richard J.
Sylvester,Bas W.G. van Rhijn,Richard Zigeuner,Shahrokh
F. Shariat. European Urology . 2020 (prep).
[7] Neoadjuvant Atezolizumab With Gemcitabine
and Cisplatin in Patients With Muscle-Invasive
Bladder Cancer: A Multicenter, Single-Arm, Phase II
Trial. [J] . Funt Samuel A,Lattanzi Michael,Whiting
Karissa,AlAhmadie Hikmat,Quinlan Colleen,Teo
Min Yuen,Lee ChungHan,Aggen David,Zimmerman
Danielle,McHugh Deaglan,Apollo Arlyn,Durdin Trey
D,Truong Hong,Kamradt Jeffrey,Khalil Maged,Lash
Bradley,Ostrovnaya Irina,McCoy Asia S,Hettich
Grace,Regazzi Ashley,Jihad Marwah,Ratna Neha,Boswell
Abigail,Francese Kaitlyn,Yang Yuanquan,Folefac
Edmund,Herr Harry W,Donat S Machele,Pietzak
Eugene,Cha Eugene K,Donahue Timothy F,Goh Alvin
C,Huang William C,Bajorin Dean F,Iyer Gopa,Bochner
Bernard H,Balar Arjun V,Mortazavi Amir,Rosenberg
Jonathan E. Journal of clinical oncology : official journal
of the American Society of Clinical Oncology . 2022 (12).
[8] 吴进锋,林榕城,林友成等.肾输尿管全长切
除术两种不同术式的双中心疗效对比 [J].北京大学学
报 ( 医学版 ),2019,51(4) :646-652.
[9] 刘康,周克冲,宋宇轩等.比较腹腔镜与开放
手术治疗上尿路尿路上皮癌预后的 Meta 分析 [J].临
床泌尿外科杂志,2019,34(2):113-118.
[10] 改良三孔法完全后腹腔镜下肾输尿管全长及
膀胱袖状切除术的临床研究 [J]. 张保 , 司马晋 , 高强 ,
夏志国 , 刘伟刚 , 史玉强 , 雷振涛 , 杨林 . 中华泌尿外
科杂志 . 2017 (01).
[11] A comparative study between open and laparos
copic approach in radical cystectomy with orthotopic ileal
neobladder [J] . E. Mateo,A. García-Tello,F. Ramón
de Fata,I. Romero,C. Nú?ez-Mora,J.C. Angulo. Actas
Urológicas Espa?olas (English Edition).2015 (2)
[12] 后腹腔镜肾输尿管全长切除术联合 3 种输
尿管膀胱壁内段切除方式在上尿路尿路上皮癌中的
应用体会 [J]. 岳峰 , 王霞 , 王斯炎 , 江彬 . 中国医药指
南 .2016(36).
[13]Sparwasser P,Epple S,Thomas A,et al.First comp
letely robot-assisted retroperitonealnephroureterecto
my with bladder cuff:a step-by-step technique.World J
Urol.2022.Epubahead of print.
[14]Kenigsberg AP,Smith W,Meng X,et al.R
obotic Nephroureterectomy vs LaparoscopicNe
phroureterectomy:Increased Utilization,Rates of
Lymphadenectomy,Decreased MorbidityRobotically.J
Endourol.2021,35(3):312-318.