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A New Technique for Ureteral Resection to Prevent Urine Dissemination and Cancer Seeding

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Journal IJU Case Rep
Date 2024 Nov 5
PMID 39498179
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Abstract

Introduction: We describe a case in which robot-assisted radical ureterectomy was performed for residual ureteral recurrence in a postoperative patient with renal pelvis cancer.

Case Presentation: A 75-year-old woman underwent laparoscopic radical nephroureterectomy for left renal pelvic cancer at another hospital. During follow-up, a papillary tumor was found in the bladder on cystoscopy, and a continuous tumor was found in the residual ureter on computed tomography. Robot-assisted radical ureterectomy was performed in combination with transurethral resection of bladder tumors. To avoid urine spillage, bladder cuff excision was performed using a mechanical suture device while monitoring the interior of the bladder.

Conclusion: We developed a new technique for remnant ureteral resection using cystoscopy and a vascular stapler to prevent urine dissemination and cancer seeding.

References
1.
Yesilli C, Seckiner I, Aydin Mungan N, Akduman B . Stone formation on surgical staple in the bladder: a long-term complication of laparoscopic colposuspension. Surg Laparosc Endosc Percutan Tech. 2007; 17(6):568-9. DOI: 10.1097/SLE.0b013e318133a18e. View

2.
Klingler H, Lodde M, Pycha A, Remzi M, Janetschek G, Marberger M . Modified laparoscopic nephroureterectomy for treatment of upper urinary tract transitional cell cancer is not associated with an increased risk of tumour recurrence. Eur Urol. 2003; 44(4):442-7. DOI: 10.1016/s0302-2838(03)00314-2. View

3.
Kerbl K, Chandhoke P, McDougall E, Figenshau R, Stone A, Clayman R . Laparoscopic stapled bladder closure: laboratory and clinical experience. J Urol. 1993; 149(6):1437-9; discussion 1439-40. DOI: 10.1016/s0022-5347(17)36408-x. View

4.
Xylinas E, Rink M, Cha E, Clozel T, Lee R, Fajkovic H . Impact of distal ureter management on oncologic outcomes following radical nephroureterectomy for upper tract urothelial carcinoma. Eur Urol. 2012; 65(1):210-7. DOI: 10.1016/j.eururo.2012.04.052. View

5.
Saika T, Nishiguchi J, Tsushima T, Nasu Y, Nagai A, Miyaji Y . Comparative study of ureteral stripping versus open ureterectomy for nephroureterectomy in patients with transitional carcinoma of the renal pelvis. Urology. 2004; 63(5):848-52. DOI: 10.1016/j.urology.2003.12.003. View