Laparoscopic combined nephroureterectomy with transurethral resection of the distal part of the ureter in the treatment of genitourinary tuberculosis
https://doi.org/10.54921/2413-0346-2025-13-1-46-53
Abstract
Purpose of the study. To conduct a comparative analysis of the results of laparoscopic and open combined nephroureterectomy with transurethral resection of the orifice (distal part) of the ureter.
Materials and methods. The results of surgical treatment of 61 patients for renal tuberculosis were analyzed. 30 patients underwent nephrectomy using laparoscopic access (main group), 31 patients underwent nephrectomy using open access (control group).
Results. Removal of a kidney affected by tuberculosis along with the ureter, regardless of the chosen access, leads to a significant leveling of dysuria. The advantages of the laparoscopic method are: reduction in the volume of intraoperative blood loss, a more significant impact on all components of quality of life in comparison with the open technique.
About the Authors
O. N. Zuban
Moscow Research and Clinical Center for Tuberculosis Control of the Moscow Government Department of Health; Russian Medical Academy of Continuing Professional Education of the Ministry of Health of Russia
Russian Federation
Russian Federation
Moscow
M. A. Prokopovich
Moscow Research and Clinical Center for Tuberculosis Control of the Moscow Government Department of Health
Russian Federation
Russian Federation
Moscow
R. M. Chotchaev
Moscow Research and Clinical Center for Tuberculosis Control of the Moscow Government Department of Health; Russian Medical Academy of Continuing Professional Education of the Ministry of Health of Russia; Peoples’ Friendship University of Russia
Russian Federation
Russian Federation
Moscow
D. A. Vishnevsky
Moscow Research and Clinical Center for Tuberculosis Control of the Moscow Government Department of Health
Russian Federation
Russian Federation
Moscow
M. P. Korchagin
The Russian University of Medicine
Russian Federation
Russian Federation
Moscow
References
1. Браженко Н.А. Внелегочный туберкулез: руководство для врачей. – СПб.: СпецЛит, 2013. – С. 9-14.
2. Зубань О.Н., Левашев Ю.Н, Скорняков С.Н. и др. Нефроуретерэктомия в лечении больных туберкулезом почек // Туберкулез и болезни легких. – 2013. – № 2. – С. 29-35.
3. Зубань О.Н., Скорняков С.Н., Арканов Л.В. и др. Оперативное лечение туберкулеза почки с тотальным поражением мочеточника // Урология. – 2014. – № 2. – С. 29-33.
4. Зубань О.Н. Хирургическое лечение туберкулеза почек и мочевыводящих путей // Руководство по легочному и внелегочному туберкулезу / Под ред. Ю.Н. Левашева, Ю.М. Репина. – СПб.: «ЭЛБИ-СПб», 2006. – С. 489-496.
5. Лихванцев В.В., Скрипкин Ю.В., Филипповская Ж.С., Жгулев Д.А. Стандартизация осложнений и исходов оперативного лечения // Вестн. анестизиологии и реаниматологии. – 2015. – Т. 12. – № 4. – С. 53-65.
6. Новик А.А., Ионова Т.И. Руководство по исследованию качества жизни в медицине. – СПб.: Издательский Дом «Нева», 2002. – 320 с.
7. Рот Ш., ван Ален Х., Семионов Х., Гертле Л. Нефроуретерэктомия с трансуретральным удалением мочеточника // Оперативная урология: классика и новация / под ред. Манагадзе Л.Г. и др. – М.: «Медицина», 2003. – С. 608-613.
8. Chen Y., Zheng H., Liang G. et al. Comparison of transperitoneal and retroperitoneal laparoscopic nephrectomy for nonfunctional tuberculous kidneys: a single-center experience // Laparoendosc. Adv. Surg. Tech. A. – 2018. – Vol. 28, № 3. – P. 325-329. doi: 10.1089/lap.2017.0270.
9. Chibber P.J., Shah H.N., Jain P.J. // Laparoendosc. Adv. Surg. Tech. A. – 2005. – Vol. 15, № 3. – P. 308-311. doi: 10.1089/lap.2005.15.308.
10. Clayman R.V., Kavoussi L.R., Soper N.J. et al. Laparoscopic nephrectomy: initial case report // J. Urol. – 1991. – Vol. 146. – P. 278-282.
11. Fahlenkamp D., Rassweiler J., Fornara P. et al. Complications of laparoscopic procedures in urology: experience with 2,407 procedures at 4 German centers // J. Urol. – 1999. – Vol. 162. – P. 765-770.
12. Kim S.H., Song M.K., Ku J.H. et al. A retrospective multicenter comparison of conditional cancer-specific survival between laparoscopic and open radical nephroureterectomy in locally advanced upper tract urothelial carcinoma // PLoS One. – 2021. – Vol. 16, № 10. – P. e0255965. doi: 10.1371/journal.pone.0255965
13. Li C., Yang Y., Xu L., Qiu M. Retroperitoneal laparoscopic nephroureterectomy with distal and intramural ureter resection for a tuberculous non-functional kidney // Int. Braz. J. Urol. – 2018. – Vol. 44, № 6. – P. 1174-1181. doi: 10.1590/S1677-5538.
14. Portis A.J., Yan Y., Landman J. et al. Long-term follow-up after laparoscopic radical nephrectomy // J. Urol. – 2002. – Vol. 167. – P. 1257-1262.
15. Ware J.E., Kosinski M., Keller S.K. SF-36 physical and mental health summary scales: a users’ manual. - Boston: The Health Institute, New England Medical Center, 1994. – P. 47-55.
16. Wu G., Wang T., Wang J. et al. Complete retroperitoneal laparoscopic nephroureterectomy with bladder cuff excision for upper tract urothelial carcinoma without patient repositioning: a single-center experience // J. Int. Med. Res. – 2020. – Vol. 48, № 11. – P. 0300060520973915. doi: 10.1177/0300060520973915
Review
For citations:
Zuban O.N., Prokopovich M.A., Chotchaev R.M., Vishnevsky D.A., Korchagin M.P. Laparoscopic combined nephroureterectomy with transurethral resection of the distal part of the ureter in the treatment of genitourinary tuberculosis. Tuberculosis and socially significant diseases. 2025;13(1):46-53. (In Russ.) https://doi.org/10.54921/2413-0346-2025-13-1-46-53
Views:
125
Email this article 