Skip to main content
SpringerLink
Log in
Book cover

Difficult Conditions in Laparoscopic Urologic Surgery pp 105–118Cite as

Difficulties in Laparoscopic Nephroureterectomy

  • Chapter
  • First Online:

  • 658 Accesses

Abstract

Upper urinary tract urothelial carcinoma (UUT-UC) is a relatively uncommon disease and accounts for about 5% of all urothelial tumors and 5–10% of all renal tumors, respectively [1]. UUT-UC is located more commonly in the renal pelvis than in the ureter with a ratio of 3:1 [1, 2] and occurs more frequently in men with a male-to female ratio of 3:2 for tumors in the renal pelvis and 2:1 for a ureteral location [3]. The incidence of bilateral UUT-UC ranges from 2 to 8% [1, 4]. Although development of UUT-UC after primary diagnosis of bladder cancer is a rare event, occurring in only 2–4% of patients with bladder cancer [5], the development of secondary bladder cancer after primary UUT-UC is about tenfold more frequent with a risk of 20–50% [2, 6]. Open radical nephroureterectomy (O-RNU) has been the gold standard for the treatment of UUT-UC for decades. Conventional open complete nephroureterectomy with excision of the ipsilateral orifice and a bladder cuff requires one or two long incisions associated with respective morbidity. Therefore, based on the first report of McDonald in 1952, several authors have tried to minimize the access trauma with the use of an endoscopic transurethral detachment technique of the distal ureter [4]. With the advances in laparoscopic techniques and endourologic procedures, this concept has been increasingly challenged. In 1991, Clayman first described the technique of laparoscopic nephroureterectomy, which was soon replicated by various authors worldwide [7]. Compared with open surgery, advantages of laparoscopy have been reported as shorter hospital stay, decreased postoperative pain, and earlier return to normal activities [8, 9].

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Oosterlinck W, Solsona E, van der Meijden APM, et al. EAU guidelines on diagnosis and treatment of upper urinary tract transitional cell carcinoma. Eur Urol. 2004;46:147–54.

    Article  CAS  PubMed  Google Scholar 

  2. Krogh J, Kvist E, Rye B. Transitional cell carcinoma of the upper urinary tract: prognostic variables and postoperative recurrences. Br J Urol. 1991;67:32–6.

    Article  CAS  PubMed  Google Scholar 

  3. Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ. Cancer statistics, 2007. CA Cancer J Clin. 2007;57:43–66.

    Article  PubMed  Google Scholar 

  4. Lehmann J, Suttmann H, Kovac I, et al. Transitional cell carcinoma of the ureter: prognostic factors influencing progression and survival. Eur Urol. 2007;51:1281–8.

    Article  PubMed  Google Scholar 

  5. Sanderson KM, Cai J, Miranda G, Skinner DG, Stein JP. Upper tract urothelial recurrence following radical cystectomy for transitional cell carcinoma of the bladder: an analysis of 1, 069 patients with 10-year followup. J Urol. 2007;177:2088–94.

    Article  PubMed  Google Scholar 

  6. Zigeuner RE, Hutterer G, Chromecki T, Rehak P, Langner C. Bladder tumour development after urothelial carcinoma of the upper urinary tract is related to primary tumour location. BJU Int. 2006;98:1181–6.

    Article  PubMed  Google Scholar 

  7. Angulo JC, Hontoria J, Sanchez-Chapado M. One-incision nephroureterectomy endoscopically assisted transurethral stripping. Urology. 1998;52:203–7.

    Article  CAS  PubMed  Google Scholar 

  8. Rassweiler J, Henkel TO, Potempa DM, Coptcoat M, Alken P. The technique of transperitoneal laparoscopic nephrectomy, adrenalectomy, and nephroureterectomy. Eur Urol. 1993;23:425–30.

    Article  CAS  PubMed  Google Scholar 

  9. McNeill A, Oakley N, Tolley DA, Gill IS. Laparoscopic nephroureterectomy for upper tract transitional cell carcinoma: a critical appraisal. BJU Int. 2004;94:259–63.

    Article  PubMed  Google Scholar 

  10. Tsujihata M, Nonomura N, Tsujimura A, Yoshimura K, Miyagawa Y, Okuyama A. Laparoscopic nephroureterectomy for upper tract transitional cell carcinoma: comparison of laparoscopic and open surgery. Eur Urol. 2006;49:332–6.

    Article  PubMed  Google Scholar 

  11. Landman J, Lev RY, Bhayani S, et al. Comparison of hand assisted and standard laparoscopic radical nephroureterectomy for the management of localized transitional cell carcinoma. J Urol. 2002;167:2387–91.

    Article  PubMed  Google Scholar 

  12. Gill IS, Sung GT, Hobart MG, et al. Laparoscopic radical nephroureterectomy for upper tract transitional cell carcinoma: the Cleveland Clinic experience. J Urol. 2000;164:1513–22.

    Article  CAS  PubMed  Google Scholar 

  13. Palou J, Caparros J, Orsola A, Xavier B, Vicente J. Transurethral resection of the intramural ureter as the first step of nephroureterectomy. J Urol. 1995;154:43–4.

    Article  CAS  PubMed  Google Scholar 

  14. Kurzer E, Leveillee RJ, Bird VG. Combining hand assisted laparoscopic nephroureterectomy with cystoscopic circumferential excision of the distal ureter without primary closure of the bladder cuff—is it safe? J Urol. 2006;175:63–7.

    Article  PubMed  Google Scholar 

  15. Vardi IY, Stern JA, Gonzalez CM, Kimm SY, Nadler RB. Novel technique for management of distal ureter and en block resection of bladder cuff during hand-assisted laparoscopic nephroureterectomy. Urology. 2006;67:89–92.

    Article  PubMed  Google Scholar 

  16. Gill IS, Sobel JJ, Miller SD, et al. A novel technique for the management of the en-bloc bladder cuff and distal ureter during laparoscopic nephroureterectomy. J Urol. 1999;161:430–4.

    Article  CAS  PubMed  Google Scholar 

  17. Tsivian A, Benjamin S, Sidi AA. A sealed laparoscopic nephroureterectomy: a new technique. Eur Urol. 2007;52:1015–9.

    Article  PubMed  Google Scholar 

  18. Rassweiler J, Frede T, Henkel TO, Stock C, Alken P. Nephrectomy: a comparative study between the transperitoneal and retroperitoneal laparoscopic versus the open approach. Eur Urol. 1998;13:489–96.

    Article  Google Scholar 

  19. Cicco A, Salomon L, Hoznek H, et al. Carcinological risks and retroperitoneal laparoscopy. Eur Urol. 2000;38:606–12.

    Article  CAS  PubMed  Google Scholar 

  20. Rassweiler J, Tsivian A, Ravi Kumar AV, et al. Oncological safety of laparoscopic surgery for urological malignancies: experience with more than 1,000 operations. J Urol. 2003;169:2072–5.

    Article  PubMed  Google Scholar 

  21. Lee BR, Jabbour ME, Marshall FF, Smith AD, Jarrett TW. 13-year survival comparison of percutaneous and open nephroureterectomy approaches for management of transitional cell carcinoma of renal collecting system: equivalent outcomes. J Endourol. 1999;13:289–94.

    Article  CAS  PubMed  Google Scholar 

  22. Rassweiler JJ, Schulze M, Marrero R, Frede T, Palou Redorta J, Bassi P. Laparoscopic nephroureterectomy for upper urinary tract transitional cell carcinoma: is it better than open surgery? Eur Urol. 2004;46:690–7.

    Article  PubMed  Google Scholar 

  23. Jarrett TW. Laparoscopic nephroureterectomy. Atlas Urol Clin North Am. 2000;8:115.

    Article  Google Scholar 

  24. Steinberg JR, Matin SF. Laparoscopic radical nephroureterectomy: dilemma of the distal ureter. Curr Opin Urol. 2004;14:61–5.

    Article  PubMed  Google Scholar 

  25. Shalhav AL, Elbahnasy AM, McDougall E, Clayman RV. Laparoscopic nephroureterectomy for upper tract transitional cell cancer: technical aspects. J Endourol. 1998;12:345–53.

    Article  CAS  PubMed  Google Scholar 

  26. Stephenson RN, Sharma NK, Tolley DA. Laparoscopic nephroureterectomy: a comparison with open surgery. J Endourol. 1995;9(Suppl 1):99.

    Google Scholar 

  27. Arango O, Bielsa O, Carles J, Gelabert-Mas A. Massive tumor implantation in the endoscopic resected area in modified nephroureterectomy. J Urol. 1997;157:1839.

    Article  CAS  PubMed  Google Scholar 

  28. Hetherington JW, Ewing R, Philip NH. Modified nephroureterectomy: a risk of tumor implantation. Br J Urol. 1999;58:368–70.

    Article  Google Scholar 

  29. Pai A, Hussain M, Hindley R, Emara A, Barber N. Long-term outcomes of laparoscopic nephroureterectomy with transurethral circumferential excision of the ureteral orifice for urothelial carcinoma. J Endourol. 2017;

    Google Scholar 

  30. Gill IS. Laparoscopic radical nephrectomy for cancer. Urol Clin North Am. 2000;27:707–19.

    Article  CAS  PubMed  Google Scholar 

  31. McDougall EM, Clayman RV, Elashry O. Laparoscopic nephroureterectomy for upper tract transitional cell cancer: the Washington University experience. J Urol. 1995;154:975–9.

    Article  CAS  PubMed  Google Scholar 

  32. Nakada SY. Hand-assisted laparoscopic nephrectomy. J Endourol. 1999;13:9–14.

    Article  CAS  PubMed  Google Scholar 

  33. Wolf JS, Moon TD, Nakada SY. Hand assisted laparoscopic nephrectomy: comparison to standard laparoscopic nephrectomy. J Urol. 1998;160:22–7.

    Article  PubMed  Google Scholar 

  34. Gill IS. Retroperitoneal laparoscopic nephrectomy. Urol Clin North Am. 1998;25:343–60.

    Article  CAS  PubMed  Google Scholar 

  35. Salomon L, Hoznek A, Cicco A, Gasman D, Chopin DK, Abbou CC. Retroperitoneoscopic nephroureterectomy for renal pelvic tumors with a single iliac incision. J Urol. 1999;161:541–4.

    Article  CAS  PubMed  Google Scholar 

  36. Katz JE, Bivalacqua TJ, Hahn NM, Sopko NA. Port site recurrence following a robotic laparoscopic radical nephroureterectomy for sarcomatoid variant of urothelial carcinoma. Urol Case Rep. 2017;13:82–4.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Shigeta K, Kikuchi E, Hagiwara M, Ando T, Mizuno R, Miyajima A, Nakagawa K, Oya M. Prolonged pneumoperitoneum time is an independent risk factor for intravesical recurrence after laparoscopic radical nephroureterectomy in upper tract urothelial carcinoma. Surg Oncol. 2017;26(1):73–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Fayoum University, Fayoum, Egypt

    Hamdy M. Ibrahim MD

  2. Department of Surgery (Urology), Faculty of Medicine, Kuwait University, Jabriyah, Kuwait

    Ahmed Al-Kandari BM BCh, FRCS(C)

  3. Center for Laparoscopic and Robotic Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA

    Robert J. Stein MD

  4. USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Inderbir S. Gill MD

Authors
  1. Hamdy M. Ibrahim MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ahmed Al-Kandari BM BCh, FRCS(C)
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Robert J. Stein MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Inderbir S. Gill MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ahmed Al-Kandari BM BCh, FRCS(C) .

Editor information

Editors and Affiliations

  1. Department of Surgery, Kuwait University, Kuwait, Kuwait

    Ahmed Al-Kandari

  2. Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

    Arvind P. Ganpule

  3. Urology Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

    Raed A. Azhar

  4. USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Inderbir S. Gill

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ibrahim, H.M., Al-Kandari, A., Stein, R.J., Gill, I.S. (2018). Difficulties in Laparoscopic Nephroureterectomy. In: Al-Kandari, A., Ganpule, A., Azhar, R., Gill, I. (eds) Difficult Conditions in Laparoscopic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-52581-5_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-52581-5_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52580-8

  • Online ISBN: 978-3-319-52581-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation