Erschienen in:
21.09.2018 | ASO Author Reflections
ASO Author Reflections: Complications in Urinary Tract Extirpation
verfasst von:
Yun-Ching Huang, MD, PhD
Erschienen in:
Annals of Surgical Oncology
|
Sonderheft 3/2018
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Excerpt
Urothelial carcinoma (UC) is the most common malignancy of the genitourinary tract among dialysis patients in Taiwan.
1 Dialysis patients with UC have a significantly higher rate of multiple foci in a synchronous or metachronous fashion throughout the urinary tract than patients not receiving dialysis.
2 Given that dialysis patients have poorly functioning or nonfunctioning urinary tracts, a rationale exists for extirpation of nonfunctioning or poorly functioning organs that carry significant potential for malignant transformation. One-stage complete urinary tract extirpation (CUTE, involving simultaneous bilateral nephroureterectomy with cystectomy or cystoprostatectomy) is a complex procedure associated with a significant risk of postoperative complications and mortality.
3,
4 Due to the relative rarity of the condition, the association between preoperative clinical characteristics, postoperative complications, and mortality for patients undergoing one-stage CUTE have not been systematically investigated. …