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BMC Urology

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Open Access 01-12-2023 | Ureterectomy | Research

Segmental ureterectomy for high-risk ureteral carcinoma: a preliminary report

Authors: Wei Wei, Junfeng Liu, Lingdian Wang, Xiaoyu Duan, Degang Ding

Published in: BMC Urology | Issue 1/2023

Abstract

Background

EAU guidelines strongly recommend kidney sparing surgery (KSS) as the primary treatment option for the low-risk UTUC patients. While there are few reports involving the KSS treated for the high-risk counterparts, especially the ureteral resection.

Objective

To evaluate the effectiveness and safety of the segmental ureterectomy (SU) for the patients with high-risk ureteral carcinoma.

Materials and methods

We included 20 patients from May 2017 to December 2021 who underwent segmental ureterectomy (SU) in Henan Provincial People’s Hospital. The overall survival (OS) and progression free survival (PFS) were evaluated. Besides, the ECOG scores and postoperative complications were also included.

Results

As of December 2022, the mean OS was 62.1months (95%CI:55.6-68.6months) and the mean PFS was 45.0months (95%CI:35.9-54.1months). The median OS and median PFS were not reached. The 3-year OS rate was 70% and the 3-year PFS rate was 50%. The percentage of Clavien I and II complications was 15%.

Conclusion

For the selected patients with high-risk ureteral carcinoma, the efficacy and safety of segmental ureterectomy were satisfactory. But we still need to conduct prospective or randomized study to validate the value of SU in patients with high-risk ureteral carcinoma.

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Title: Segmental ureterectomy for high-risk ureteral carcinoma: a preliminary report
Authors: Wei Wei
Junfeng Liu
Lingdian Wang
Xiaoyu Duan
Degang Ding
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Ureterectomy
Published in: BMC Urology / Issue 1/2023
Electronic ISSN: 1471-2490
DOI: https://doi.org/10.1186/s12894-023-01265-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Segmental ureterectomy for high-risk ureteral carcinoma: a preliminary report

Abstract

Background

Objective

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objective

Materials and methods

Results

Conclusion

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