OBJECTIVE: To report our series of @entity1 undergoing hand-assisted laparoscopic nephroureterectomy (HALNU) using the pluck-off procedure. MATERIALS AND METHODS: Twenty @entity1 undergoing HALMU for upper urinary tract urothelial tumors from November 2002 to December 2007 were assessed. Demographic, clinical, surgical, and oncological data were assessed. RESULTS: Mean @entity1 age was 69 years. Mean operating time and mean intraoperative bleeding were 176 min and 381 mL respectively. Twenty percent of @entity1 required transfusion of blood products. Conversion to open surgery was not required in any @entity1 . Major and minor complications occurred in 25% and 30% of @entity1 respectively.Mean time to oral intake was 48 hours, and mean hospital stay was 5 days.Pathological study revealed @entity1606 in all cases: grade I in 5%, grade II in 60%, and grade III in 35% of @entity1 . Clinical stage was pTa in 5%, @entity2558 in 20%, pT2 in 25%, @entity1803 in 40%, and pT4 in 10% of @entity1 . A bladder recurrence rate of 30% and a 49% overall survival were seen after a mean follow-up of 33 months (5-73). Six-year @entity5 -specific survival was 67%. No @entity1 developed either peritoneal or surgical bed recurrence. CONCLUSIONS: HALMU using the pluck-off procedure is a feasible, safe, and effective surgery. Both surgical and oncological results are similar to those of open surgery and pure laparoscopy.

[Hand-assisted laparoscopic nephroureterectomy for the treatment of upper urinary tract transitional XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2558 :: ('58492', 'Gene') :: ['pT1'] @entity1803 :: ('7694', 'Gene') :: ['pT3'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1606 :: ('MESH:D002295', 'Disease') :: ['transitional cell carcinoma']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
