Anatomical templates of lymph node dissection for upper tract urothelial carcinoma: a systematic review of the literature

Research output: Contribution to journalJournal articleResearchpeer-review

  • R. Campi
  • A. Minervini
  • A. Mari
  • G. Hatzichristodoulou
  • F. Sessa
  • A. Lapini
  • Sessa, Maurizio
  • J.E. Gschwend
  • S. Serni
  • M. Roscigno
  • M. Carini
© 2017 Informa UK Limited, trading as Taylor & Francis Group. Introduction: Indications and techniques of lymph node dissection (LND) for upper tract urothelial carcinoma (UTUC) are still controversial. Areas covered: In this study, a systematic review of the English-language literature was performed up to 1 July 2016 using the Medline, Scopus, Cochrane Library and Web of Sciences databases to provide a detailed overview of the most commonly dissected surgical templates of LND for UTUC according to laterality and location of the tumor. Overall, sixteen studies were analyzed. Based on the shared experiences in the scientific literature, the LND template typically included: for right-sided tumors of the renal pelvis, upper third and middle third of the ureter, the renal hilar, paracaval, precaval and retrocaval nodes, while for left-sided tumors the renal hilar, paraaortic and preaortic nodes. For tumors of the lower ureter, an extended pelvic LND was performed in most cases; however, the paracaval, paraaortic or presacral nodes were dissected in selected series. Expert commentary: LND is not routinely performed at the time of surgery for UTUC and both indication and extent of LND vary among surgeons and institutions. Future high-quality studies are needed to define the most accurate LND templates and to assess their oncological efficacy and surgical morbidity.
Original languageEnglish
JournalExpert Review of Anticancer Therapy
Volume17
Issue number3
Pages (from-to)235-246
ISSN1473-7140
DOIs
Publication statusPublished - 2017
Externally publishedYes

    Research areas

  • Anatomic landmarks, UTUC, lymph node dissection, lymphadenectomy, template, transitional cell carcinoma, upper tract urothelial carcinoma

ID: 197732122