Uptake of Laparoscopic Radical Nephroureterectomy in France: A 2003-2011 National Practice Report

摘要

Radical nephroureterectomy (RNU) with excision of the bladder cuff is the treatment of choice for high-risk non-invasive and invasive upper tract urothelial carcinoma [1]. With the diffusion of laparoscopy over the last two decades, laparoscopic RNU (LNU) has gained increasing popularity compared to open RNU (ONU).* Recently, a propensity-score-matched analysis [2] and a systematic review (with cumulative analysis) of available comparative studies [3] suggested that some intra- and perioperative outcomes were more favorable in patients treated with LNU compared with ONU. Specifically, LNU patients were less likely to require a blood transfusion and/or to experience intraoperative complications and had a shorter length of stay.