Реконструктивные и дренирующие операции на мочевых путях  в онкогинекологии

В. М. Запорожан; В. В. Лысенко; В. Г. Дубинина

doi:10.18370/2309-4117.2012.6.5-7

Authors

В. М. Запорожан Odessa National Medical University, Ukraine
В. В. Лысенко Center of Reconstructive and Restorative Medicine; Oncology ONMedU, Ukraine
В. Г. Дубинина Odessa National Medical University; Center for reconstructive and regenerative medicine, Ukraine

DOI:

https://doi.org/10.18370/2309-4117.2012.6.5-7

Keywords:

locally advanced cancer, salvage surgery, obstruction of the urinary tract, urinary diversion

Abstract

Urinary system is involved in the pathological process is more than half the time in locallyadvanced gynecological cancer pathology, sometimes it is a reason for refusal of surgery, radiation and drug therapy. Authors analyzed the results of salvage surgery in 136 patients with tumors of the pelvis stage III-IV, 52.2% of which had defeated the ureters and bladder. As a result, concluded that the feasibility of combined surgery with one-stage reconstruction of the urinary tract in a certain category of patients,because such approach in the treatment of locallyadvanced cancer of the reproductive organs in women improves the results of cancer survival and improves renal function.

Author Biographies

В. М. Запорожан, Odessa National Medical University

MD, Professor, Academician of Academy of Medical Sciences of Ukraine, Rector, Head of the Obstetrics and Gynaecology Department № 1

В. В. Лысенко, Center of Reconstructive and Restorative Medicine; Oncology ONMedU

PhD, urologist;

Assistant of the Department

В. Г. Дубинина, Odessa National Medical University; Center for reconstructive and regenerative medicine

MD, Professor, Department of Obstetrics and Gynecology, number 1, Vice President for Clinical Work;

director

References

Джером П. Рич, Энтони В. Д’амико. Онкоурология / Перевод с англ. О.Б. Лорана // М.: Бином, 2011. – 896 с.
Buscarini M., Josephson D., Cai J. et al. Urinary diversion in women following radical cystectomy: a single center comparison and update on outcomes. Eur Urol Suppl 2007; 6 (2): р. 219.
Campbell S.C., Walsh P.C. Pathophysiology of urinary tract obstruction. In: Wein J. ed. Campbell-Walsh Urology.Vol2. 9th ed. Saunders; 2007: р. 1195-1226.
Chen M.Y., Zagoria R.J., Dyer R.B. Radiologic findings in acute urinary tract obstruction. J Emerg Med. May-Jun 1997; 15(3): р. 339-343.
Franke J.J., Smith J.A. Surgery of the ureter. In: Walsh PC, Retik AB, eds. Campbell’s Urology. 7th ed. Philadelphia, Pa: WB Saunders and Co; 1998.
Gurung P.M.,Greenwell T.J., Shah P.J.,Ockrim J.L. Correlation of estimatedand measured glomerular filtration rate in patients with interposed bowel in the urinary tract. Scand J Urol Nephrol 2011; 45: p. 290-295.
Jakko A. Nieuwenhuijzen, Remco R. de Vries, Alex Bex et al. Urinary Diversions after Cystectomy: The Association of Clinical Factors, Complications and Functional Results of Four Different Diversions. Eur Urol Vol. 53: Issue 4; p.834-844.
Jin X.-D., Roethlisberger S., Burkhard F.C. et al. Long-term renal function after urinary diversion by ileal conduit or orthotopicileal bladder substitution. Eur Urol 2012; 61: p. 491-497.
Kabalin J.N. Surgical anatomy of the retroperitoneum, kidneys, and ureters. In: Walsh P.C., Retik A.B. eds. Campbell’s Urology. 7th ed. Philadelphia, Pa: WB Saunders and Co; 1998.
Loo M.H., Vaughan E.D. Obstructive nephropathy and postobstructive diuresis. AUA Update Series. 1985; 4: р. 9.
Macfarlane M.T. Obstructive uropathy. In: Urology. 2nd ed. Philadelphia, Pa: Williams & Wilkins; 1995: р. 97-102.
NiewenhuijzenJ.A., de VriesR.R., BexA. et al. Urinarydiversions after cystectomy: the association of clinical factors, complications, and functional results of four different diversions. Eur Urol 53 (2008); р. 834-844.