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Upper Urinary Tract Urothelial Cancer
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====== Options ====== *'''<span style="color:#ff0000">Segmental ureterectomy with ureteroureterostomy</span>''' ** '''<span style="color:#ff0000">Small, unifocal tumors (typically 1 cm or smaller) tumors isolated to a short segment of the proximal or mid-ureter requiring resection of β€2 cm or less of ureteral length to allow for primary ureteroureterostomy.</span>''' ***Longer sections of ureteral involvement and resection may require more complex reconstruction techniques when kidney sparing is desired. *'''<span style="color:#ff0000">Distal ureterectomy with ureteral reimplant</span>''' **'''<span style="color:#ff0000">Preferred treatment for surgically eligible patients with HR and unfavorable LR cancers endoscopically confirmed as confined to the lower ureter in a functional renal unit</span>''' ***Tumor ablation considered alternative options to the gold-standard of extirpative resection ****Tumor ablation may yield less optimal results and require multiple additional procedures **Most favorable candidates for distal ureterectomy are patients who ***Have ureteral tumors in the lower third of the ureter ***Sufficiently mobile bladder with capacity to facilitate reimplantation with or without reconfiguration of the bladder to facilitate a tension-free anastomosis (i.e., Boari flap or psoas hitch maneuver).
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