title: Segmental ureteroileal conduit resection for the treatment of distal upper urinary tract recurrence of bladder cancer following cystectomy.
abstract: Segmental ureterectomy is less invasive than radical nephroureterectomy and results in nephron preservation and satisfactory tumor control. This study was to determine the feasibility of segmental ureteroileal conduit resection (SUICR) for patients with distal upper urinary tract recurrence of bladder cancer following radical cystectomy. Four patients with high-grade distal upper urinary tract recurrence underwent SUICR 15-108 months after radical cystectomy. The surgical technique details of SUICR, operative results, and follow-up outcomes are reported. The median operation time was 280 min, and estimated blood loss was less than 100 mL. One patient suffered from ileus 5 days after surgery and was managed conservatively. Histopathologic evaluation showed high-grade stages pTa-pT1 diseases for these patients, and ureteral margins were all negative. No patient suffered from tumor recurrence, with a median follow-up of 39 months. SUICR preserved the ipsilateral renal unit and conformed to oncological principles during surgery. The oncological outcome was satisfactory for these properly selected patients. This technique provides a valid alternative to nephroureterectomy for patients with imperative indications and high-grade upper urinary tract recurrence of bladder cancer following radical cystectomy.
authors.affiliation: Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, P. R. China. zengshuxiong@126.com.
authors.forename: Shu-Xiong
authors.initials: SX
authors.lastname: Zeng
authors.affiliation: Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, P. R. China. luxin_smmu@163.com.
authors.forename: Xin
authors.initials: X
authors.lastname: Lu
authors.affiliation: Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, P. R. China. ayxwd@qq.com.
authors.forename: Wei-Dong
authors.initials: WD
authors.lastname: Xu
authors.affiliation: Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, P. R. China. 13761178177@163.com.
authors.forename: Zhen-Sheng
authors.initials: ZS
authors.lastname: Zhang
authors.affiliation: Department of Burns, Changhai Hospital, Second Military Medical University, Shanghai, P. R. China. drxuchuanliang@126.com.
authors.forename: Hai-Hang
authors.initials: HH
authors.lastname: Li
authors.affiliation: Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, P. R. China. sunyh@medmail.com.cn.
authors.forename: Ying-Hao
authors.initials: YH
authors.lastname: Sun
authors.affiliation: Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, P. R. China. chuanliang_xu@126.com.
authors.forename: Chuan-Liang
authors.initials: CL
authors.lastname: Xu
mesh_terms: D000368:Aged; D015653:Cystectomy; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D059351:Organ Sparing Treatments / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome; D014516:Ureteral Neoplasms / Q000473:pathology / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*