Modified nephro-ureterectomy. Long-term follow-up with particular reference to subsequent bladder tumours |
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Authors: | G F Abercrombie I Eardley S R Payne B H Walmsley J Vinnicombe |
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Affiliation: | Department of Urology, St Mary's Hospital, Portsmouth. |
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Abstract: | Nephro-ureterectomy is the standard treatment for transitional carcinoma of the renal pelvis and caliceal system. In recent years a modification of the conventional two-incision technique has been described in which the intramural ureter is resected endoscopically and the remaining ureter is removed in continuity with the kidney through a single loin incision. Twenty-one patients had their renal pelvic tumours treated by this modified technique between 1970 and 1983. Of 16 patients available for analysis, 37.5% subsequently developed bladder tumours. It was concluded that this modified technique has no greater incidence of subsequent bladder tumour development than the conventional technique of nephro-ureterectomy, whilst giving considerable benefit to the patient. |
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