Videoendoscopic cutaneous ureterostomy for palliative urinary diversion in advanced pelvic cancer.
Eur Urol
; 28(4): 328-33, 1995.
Article
in En
| MEDLINE
| ID: mdl-8575502
ABSTRACT
Since January 1993, 9 patients with bilateral ureteral obstruction due to advanced pelvic cancers underwent videoendosurgical cutaneous ureterostomy. Five patients had prostate cancer, 3 had uterine cancer and only 1 bladder cancer. In 5 cases a bilateral laparoscopic transperitoneal procedure was performed. In 4 cases a retroperitoneal laparoscopic technique was adopted and only in 1 out of these 4 cases the procedure was done bilaterally. All the procedures were done under general anesthesia. The procedure was accomplished in all the cases without any intraoperative complication; the operative time ranged between 35 and 130 min. Postoperative pain was rather insignificant and did not require additional medication. Postdiversion hospital stay ranged from 3 to 11 days according to the general condition of the patients. The mean follow-up is 10.8 months. In conclusion, retroperitoneal laparoscopic cutaneous ureterostomy seems to be a reasonable alternative to percutaneous nephrostomy in case of bilateral ureteral obstruction due to advanced prostate or uterine cancer, provided that the clinical condition of the patient allows general anesthesia.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Palliative Care
/
Pelvic Neoplasms
/
Ureteral Obstruction
/
Urinary Diversion
/
Video Recording
/
Ureterostomy
/
Laparoscopy
Type of study:
Etiology_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Eur Urol
Year:
1995
Document type:
Article
Affiliation country:
Italia