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Urothelial Malignancies of the Upper Urinary Tract pp 211–220Cite as

Complications of Nephroureterectomy

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Abstract

Open radical nephroureterectomy (ONU) and excision of the ipsilateral ureteral orifice with a periureteral cuff of the bladder is the gold standard for the treatment of upper tract urothelial cancer (UTUC). Laparoscopic techniques were introduced as a less invasive alternative in 1991 by Clayman et al. The use of minimally invasive nephroureterectomy (MINU) has increased for the management of UTUC with majority of nephroureterectomies being performed robotically. Patients with UTUC are often elderly and comorbid secondary to associated risk factors for developing this malignancy. Significant perioperative complications may occur in this surgical population with rates as high as 40%. Preoperative considerations include medical optimization, patient positioning, antibiotic prophylaxis, and deep venous thrombosis prophylaxis. Intraoperative vascular, bowel, and adjacent organ injuries are potential serious complications that can be life-threatening. The incidence and effects of many complications can be minimized with meticulous attention to the anatomical details and proper surgical techniques.

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Author information

Authors and Affiliations

  1. Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 3400 Bainbridge Ave, MAP5, Bronx, NY, 10467, USA

    Abhishek Srivastava

  2. Department of Urology, Northwell Health, Northwell Hofstra School of Medicine, Hempsted, NY, USA

    Reza Ghavamian

Authors
  1. Abhishek Srivastava
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  2. Reza Ghavamian
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Correspondence to Reza Ghavamian .

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Editors and Affiliations

  1. Chief, Section of Endourology and Minimally Invasive Urology, Westchester Medical Health Network, Valhalla, New York, USA

    Majid Eshghi

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Srivastava, A., Ghavamian, R. (2018). Complications of Nephroureterectomy. In: Eshghi, M. (eds) Urothelial Malignancies of the Upper Urinary Tract. Springer, Cham. https://doi.org/10.1007/978-3-319-51263-1_20

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  • DOI: https://doi.org/10.1007/978-3-319-51263-1_20

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  • Online ISBN: 978-3-319-51263-1

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