Camarena-Reynoso HR, Solares-Sánchez ME, Castellanos-Hernández H, Martínez-Cervera P, Álvarez-Velazco G, Gallardo J, Jiménez-Ríos MA

Language: Spanish
References: 14
Page: 292-295
PDF size: 412.50 Kb.

ABSTRACT

Background: The first laparoscopic nephroureterectomy was performed by Clayman in 1991. Since then, the technical aspects and safety of laparoscopic procedures have been established. Currently, numerous laparoscopic nephroureterectomy series have been published with different approaches (transperitoneal vs retroperitoneal) and different management of the distal ureter and bladder cuff (open surgery, transurethral resection, and laparoscopy).
Case presentation: Patient is a 64-year-old man whose illness began with the presence of gross hematuria. He was seen by a urologist not connected with the authors’ hospital who ordered computed tomography scan that revealed right hydronephrotic sac and complex cyst with solid components. Patient mentioned experiencing weight loss of eleven kilograms in two months. Right radical nephrectomy was performed without complications and histopathological study reported low-grade papillary urothelial carcinoma in the renal pelvis. It was therefore decided to carry out laparoscopic ureterectomy and bladder cuff excision.
Conclusions: Laparoscopic ureterectomy together with transurethral resection is a viable management option in patients that have undergone previous radical nephrectomy. It is a safe procedure with low morbidity and mortality that enables the patient to make a quick recovery and return to normal activities.

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