Wang YL, Zhang HL, Du H, Wang W, Gao HF, Yu GH, Ren Y. Retroperitoneal laparoscopic partial resection of the renal pelvis for urothelial carcinoma: A case report. World J Clin Cases 2021; 9(8): 1916-1922 [PMID: 33748242 DOI: 10.12998/wjcc.v9.i8.1916]
Corresponding Author of This Article
Yu Ren, MD, Professor, Department of Urology, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, No. 826 Southwest Road, Shahekou District, Dalian 116033, Liaoning Province, China. 15509850654@163.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yan-Long Wang, Hao Du, Wei Wang, Hai-Feng Gao, Guang-Hai Yu, Yu Ren, Department of Urology, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, Dalian 116033, Liaoning Province, China
Hong-Lin Zhang, Center for Reproductive Health, Dalian Maternity Hospital Affiliated of Dalian Medical University, Dalian 116033, Liaoning Province, China
Author contributions: Yu GH was the patient’s surgeon and reviewed the literature; Zhang HL performed the pathology analyses and interpretation; Wang W and Gao HF analyzed and interpreted the imaging findings; Ren Y and Du H reviewed the literature and contributed to the manuscript; Wang YL were responsible for the revision of the manuscript for important intellectual content and contributed to manuscript drafting; All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yu Ren, MD, Professor, Department of Urology, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, No. 826 Southwest Road, Shahekou District, Dalian 116033, Liaoning Province, China. 15509850654@163.com
Received: October 20, 2020 Peer-review started: October 20, 2020 First decision: December 24, 2020 Revised: December 26, 2020 Accepted: January 6, 2021 Article in press: January 6, 2021 Published online: March 16, 2021 Processing time: 135 Days and 23.5 Hours
Abstract
BACKGROUND
The standard treatment of transitional cell carcinoma of the upper urinary tract consists of radical nephroureterectomy with bladder cuff removal, which can be performed either in open or laparoscopy or robot-assisted laparoscopy. Treatment of chronic renal insufficiency patients with upper urothelial tumor is in a dilemma. Urologists weigh and consider the balance between tumor control and effective renal function preservation. European Association of Urology guidelines recommend that select patients may benefit from endoscopic treatment, but laparoscopic treatment is rarely reported.
CASE SUMMARY
In this case report, we describe a case of 79-year-old female diagnosed with urothelial carcinoma of the renal pelvis and adrenal adenoma with chronic renal insufficiency. The patient was treated with retroperitoneal laparoscopic partial resection of the renal pelvis and adrenal adenoma resection simultaneously.
CONCLUSION
Retroperitoneal laparoscopic partial resection of the renal pelvis is an effective surgical procedure for the treatment of urothelial carcinoma of the renal pelvis.
Core Tip: For patients with chronic renal insufficiency diagnosed with renal pelvic urothelial carcinoma, retroperitoneal laparoscopic partial resection of the renal pelvis is a new effective surgical method and an alternative method for endoscopic treatment, especially for surgeons with rich experience in laparoscopic surgery and patients with other diseases for which laparoscopic surgery is needed simultaneously.
