Keywords
Medical oncology
Laparoscopy
Submitted : 2023-05-15
Accepted : 2023-05-30
Published : 2023-06-14
Abstract
This paper presents a case of a 55-year-old male patient with pain in the right lumbar region and hematuria. An abdominopelvic computed tomography was performed, and a tumor was discovered in the right renal pelvis. An open right radical nephrectomy was performed. She returned again with hematuria, thus cystoscopy, ureteroscopy, and selective cytology were performed, and local recurrence in the right ureter was documented. A radical right radical ureterectomy with laparoscopic bladder encirclement and extended lymphadenectomy was performed, with a histopathological report of right ureter with low-grade urothelial carcinoma. The patient showed satisfactory progress and was monitored. With this article, we stress that with adequate training, experience, and practice in laparoscopic surgery, excellent oncological and aesthetic results can be obtained, which is comparable to open surgery, but with the benefit of rapid recovery and less pain and bleeding. Therefore, we believe that with practice, laparoscopic oncological surgery after an open surgery is perfectly feasible.
References
Cortesi N, Ferrari P, Zambarda E, et al., 1976, Diagnosis of Bilateral Abdominal Cryptorchidism by Laparoscopy. Endoscopy, 8(1): 33–34. https://www.doi.org/10.1055/s-0028-1098372
Schuessler WW, Vancaillie TG, Reich H, et al., 1991, Transperitoneal Endosurgical Lymphadenectomy in Patients with Localized Prostate Cancer. J Urol, 145(5): 988–991.
Hemal AK, Kumar A, Kumar R, et al., 2007, Laparoscopic Versus Open Radical Nephrectomy for Large Renal Tumors: A Long-Term Prospective Comparison. J Urol, 177(3): 862–866. https://www.doi.org/10.1016/j.juro.2006.10.053
Gkougkousis EG, Mellon JK, Griffiths TRL, 2010, Management of the Distal Ureter during Nephroureterectomy for Upper Urinary Tract Transitional Cell Carcinoma: A Review. Urologia Internationalis. 85(3): 249–256. http://dx.doi.org/10.1159/000302715
Sokol ER, Patel SR, Clemons JL, et al., 2005, Usefulness of Urinary Cytology Testing in the Evaluation of Irritative Voiding Symptoms. Am J Obstet Gynecol, 192(5): 1554–1559. https://www.doi.org/10.1016/j.ajog.2004.10.627
Hall MC, Womack S, Sagalowsky AI, et al., 1998, Prognostic Factors, Recurrence, and Survival in Transitional Cell Carcinoma of the Upper Urinary Tract: A 30-Year Experience in 252 Patients. Urology, 52(4): 594–601. https://www.doi.org/10.1016/s0090-4295(98)00295-7
Krogh J, Kvist E, Rye B, 1991, Transitional Cell Carcinoma of the Upper Urinary Tract: Prognostic Variables and Postoperative Recurrences. Br J Urol, 67(1): 32–36. https://www.doi.org/10.1111/j.1464-410x.1991.tb15064.x
Corrado F, Ferri C, Mannini D, et al., 1991, Transitional Cell Carcinoma of the Upper Urinary Tract: Evaluation of Prognostic Factors by Histopathology and Flowcytometric Analysis. J Urol, 145(6): 1159–1163. https://doi.org/10.1038/modpathol.3800529
Batata MA, Whitmore WF, Hilaris BS, et al., 1975, Primary Carcinoma of the Ureter: A Prognostic Study. Cancer, 35(6): 1626–1632. https://doi.org/10.1002/1097-0142(197506)35:6%3C1626::aid-cncr2820350623%3E3.0.co;2-c
Babaian RJ, Johnson DE, 1980, Primary Carcinoma of the Ureter. J Urol, 123(3): 357–359. https://doi.org/10.1016/s0022-5347(17)55935-2
Anderström C, Johansson SL, Pettersson S, et al., 1989, Carcinoma of the Ureter: A Clinicopathologic Study of 49 Cases. J Urol, 142: 280–283. https://doi.org/10.1016/s0022-5347(17)38730-x
Wen Y-C, Kuo J-Y, Chen K-K, et al., Urothelial carcinoma of urinary bladder in young adults: clinical experience at Taipei Veterans General Hospital. Journal of the Chinese Medical Association, 68(6): 272–275. https://doi.org/10.1016/s1726-4901(09)70149-2
Djokic M, Hadzi-Djokic J, Nikolic J, et al., 1999, Comparison of Upper Urinary Tract Tumors in the Region of Balkan Nephropathy with those of Other Regions of Yugoslavia. Prog Urol, 9(1): 61–68.
Pesch B, Haerting J, Ran U, et al., 2000, Occupational Risk Factors for Renal Cell Carcinoma: Agent-Specific Results from A Case-Control Study in Germany. MURC Study Group. Multicenter Urothelial and Renal Cancer Study. Int J Epidemiol, 29(6): 1014–1024. https://doi.org/10.1093/ije/29.6.1014
Rouprêt M, Babjuk M, Compérat E, et al., 2015, European Association of Urology Guidelines on Upper Urinary Tract Urothelial Cell Carcinoma: 2015 Update. Eur Urol, 68: 868–879. http://dx.doi.org/10.1016/j.eururo.2015.06.044
Vidal Mora I, Castillo O, Velasco Palma A, et al., 2009, Transitional Cell Carcinoma of the Upper Urinary Tract: Current Treatment Options and Minimally Invasive Approaches. Spanish Archives of Urology, 62(5): 367–375.
Kavoussi LR, Novick AC, Partin AW, et al., 2015, Campbell-Walsh: Urology 10th Edition, Volume 2, Editorial Médica Panamericana, Mexico.
Srirangam SJ, van Cleynenbreugel B, van Poppel H, 2009, Laparoscopic Nephroureterectomy: The Distal Ureteral Dilemma. Advances in Urology, 2009: 316807. http://dx.doi.org/10.1155/2009/316807
Gkougkousis EG, Mellon JK, Griffiths TRL, 2010, Management of the Distal Ureter During Nephroureterectomy for Upper Urinary Tract Transitional Cell Carcinoma: A Review. Urologia Internationalis, 85(3): 249–256.
Rouprêt M, Babjuk M, Compérat E, et al., 2015, European Association of Urology Guidelines on Upper Urinary Tract Urothelial Cell Carcinoma: 2015 Update. Eur Urol, 68(5): 868–879. http://dx.doi.org/10.1016/j.eururo.2015.06.044