A Case of Renal Pelvic Cancer Complicated by Horseshoe Kidney Treated with RoboSurgeon Gasless Single-Port Retroperitoneoscopic Nephroureterectomy.
Hiroaki SuzukiKosuke TakemuraKazumasa SakamotoMadoka KataokaMasaya ItoYasukazu NakanishiKen-Ichi TobisuFumitaka KogaPublished in: Case reports in urology (2018)
A 78-year-old man who had a horseshoe kidney (HSK) visited us because of gross hematuria and suspicious urine cytology. CT and MRI revealed a right renal pelvic tumor of 28 mm in diameter. He underwent gasless single-port retroperitoneoscopic nephroureterectomy with division of the isthmus via the right pararectal small incision using the RoboSurgeon system. Pathological diagnosis was invasive urothelial carcinoma, grade 3, pT3, pN0, LVI0, RM0. He was discharged from hospital on the 6th postoperative day without any perioperative complication. He has no evidence of disease clinically and radiologically 19 months after the operation. Only a few cases of upper tract urothelial carcinoma complicated by HSK treated with minimally invasive surgery have been reported in English literature. This is the first case successfully managed with RoboSurgeon gasless single-port retroperitoneoscopic nephroureterectomy.
Keyphrases
- laparoscopic surgery
- patients undergoing
- urinary tract
- contrast enhanced
- robot assisted
- rectal cancer
- systematic review
- magnetic resonance imaging
- computed tomography
- healthcare
- papillary thyroid
- cardiac surgery
- fine needle aspiration
- magnetic resonance
- squamous cell carcinoma
- high grade
- image quality
- newly diagnosed
- young adults
- squamous cell
- diffusion weighted imaging