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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 240 - 251 (12page)
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Purpose We compared oncologic outcomes of patients with upper tract urothelial carcinoma (UTUC) who underwent open nephroureterectomy (ONU) or laparoscopic nephroureterectomy (LNU). Materials and Methods Consecutive cases of ONU and LNU between 2000 and 2012 at five participating institutions were included in this retrospective analysis. Clinical characteristics and pathologic outcomes were compared between the two surgical approaches. The influence of the type of surgical approach on intravesical recurrence-free survival (IVRFS), progression-free survival (PFS), cancer-specific survival (CSS), and overall survival (OS) was analyzed using the Kaplan-Meier method and differences were assessed with the log-rank test. Predictors of IVRFS, PFS, CSS, and OS were also analyzed with a multivariable Cox regression model. Results A total of 1,521 patients with UTUC were eligible for the present study (ONU, 906; LNU, 615). The estimated 5-year IVRFS (57.8 vs. 51.0%, p=0.010), CSS (80.4 vs. 76.4%, p=0.032), and OS (75.8 vs. 71.4%, p=0.026) rates were significantly different between the two groups in favor of LNU. Moreover, in patients with locally advanced disease (pT3/pT4), the LNU group showed better 5-year IVRFS (62.9 vs. 54.1%, p=0.038), CSS (64.3 vs. 56.9%, p=0.022), and OS (60.4 vs. 53.1%, p=0.018) rates than the ONU group. Multivariable Cox regression analyses showed that type of surgical approach was independently associated with IVRFS, but was not related to PFS, CSS, and OS. Conclusion Our findings indicate that LNU provided better oncologic control of IVRFS, CSS, and OS compared with ONU for the management of patients with UTUC.
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참고문헌 (21)
참고문헌 신청
Siegel RL / 2017 / Cancer statistics, 2017 / CA Cancer J Clin 67:7~30
정규원 / 2017 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2014 / Cancer Research and Treatment 49(2):292~305
Roupret M / 2015 / European Association of Urology guidelines on upper urinary tract urothelial cell carcinoma : 2015 update / Eur Urol 68:868~879
Tsujihata M / 2006 / Laparoscopic nephroureterectomy for upper tract transitional cell carcinoma : comparison of laparoscopic and open surgery / Eur Urol 49:332~336
Simone G / 2009 / Laparoscopic versus open nephroureterectomy : perioperative and oncologic outcomes from a randomised prospective study / Eur Urol 56:520~526
정규원 / 2017 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2014 / Cancer Research and Treatment 49(2):292~305
Roupret M / 2015 / European Association of Urology guidelines on upper urinary tract urothelial cell carcinoma : 2015 update / Eur Urol 68:868~879
Tsujihata M / 2006 / Laparoscopic nephroureterectomy for upper tract transitional cell carcinoma : comparison of laparoscopic and open surgery / Eur Urol 49:332~336
Simone G / 2009 / Laparoscopic versus open nephroureterectomy : perioperative and oncologic outcomes from a randomised prospective study / Eur Urol 56:520~526
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