RESULTS OF RETROPERITONEAL LAPAROSCOPIC FOR UPPER URINARY TRACT CANCER AT HANOI MEDICAL UNIVERSITY HOSPITAL

Quốc Hòa Trần 1,2,, Trung Thành Trần 1,2
1 Hanoi medical university hospital
2 Hanoi medical university

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Abstract

Surgical treatment is a key role in the treatment of the upper urinary tract cancer. For many years, Hanoi Medical University Hospital has performed retroperitoneal laparoscopic nephrectomy combined with open surgical resection of the distal ureter and bladder cone to treat many cases of the upper urinary tract cancer. Our study included 40 patients with the upper urinary tract cancer, including 28 retrospective and 12 prospective patients undergoing surgery and follow-up from 2010 to 2022. Method is longitudinal follow-up descriptive study with non-probability convenience sample. Results: The mean age of the patients in the study was 62.6 ± 12.35. Men make up the majority with 72.5%. The mean total surgical time was 136.4 ± 28.04 minutes. The mean hospital stay was 7.4 ± 1.92 days. There were 4 patients who required blood transfusion immediately after surgery. No patient had a complication greater than grade 1 according to the Clavien-Dindo classification. There were 2 cases of patients with bladder recurrence within 1 month after surgery. The survival time calculated according to the Kaplan-Meier method: from 0 to 11 months is 100%, from 12 to 23 months is 70%, from 24 to 35 months is 47.5% and from 36 months or more is 12.5%.

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References

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