A new technique for ureteral resection to prevent urine dissemination and cancer seeding

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 ano...

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Main Authors: Hayato Hoshina, Toru Sugihara, Masayuki Kurokawa, Kaori Endo, Ei‐ichiro Takaoka, Satoshi Ando, Haruki Kume, Tetsuya Fujimura
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:IJU Case Reports
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Online Access:https://doi.org/10.1002/iju5.12777
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author Hayato Hoshina
Toru Sugihara
Masayuki Kurokawa
Kaori Endo
Ei‐ichiro Takaoka
Satoshi Ando
Haruki Kume
Tetsuya Fujimura
author_facet Hayato Hoshina
Toru Sugihara
Masayuki Kurokawa
Kaori Endo
Ei‐ichiro Takaoka
Satoshi Ando
Haruki Kume
Tetsuya Fujimura
author_sort Hayato Hoshina
collection DOAJ
description 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.
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spelling doaj-art-80fcecdab6a14bf9a9955532a13a0cf02025-08-20T02:18:27ZengWileyIJU Case Reports2577-171X2024-11-017645445810.1002/iju5.12777A new technique for ureteral resection to prevent urine dissemination and cancer seedingHayato Hoshina0Toru Sugihara1Masayuki Kurokawa2Kaori Endo3Ei‐ichiro Takaoka4Satoshi Ando5Haruki Kume6Tetsuya Fujimura7Department of Urology Jichi Medical University Hospital Shimotsuke JapanDepartment of Urology Jichi Medical University Hospital Shimotsuke JapanDepartment of Urology Jichi Medical University Hospital Shimotsuke JapanDepartment of Urology Jichi Medical University Hospital Shimotsuke JapanDepartment of Urology Jichi Medical University Hospital Shimotsuke JapanDepartment of Urology Jichi Medical University Hospital Shimotsuke JapanDepartment of Urology, Graduate School of Medicine The University of Tokyo Bunkyo‐ku JapanDepartment of Urology Jichi Medical University Hospital Shimotsuke JapanIntroduction 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.https://doi.org/10.1002/iju5.12777laparoscopic radical nephroureterectomy (LNU)recurrencerobot‐assisted radical ureterectomy (RAU)transurethral resection of the bladder tumor (TURBT)upper tract urothelial cancer (UTUC)
spellingShingle Hayato Hoshina
Toru Sugihara
Masayuki Kurokawa
Kaori Endo
Ei‐ichiro Takaoka
Satoshi Ando
Haruki Kume
Tetsuya Fujimura
A new technique for ureteral resection to prevent urine dissemination and cancer seeding
IJU Case Reports
laparoscopic radical nephroureterectomy (LNU)
recurrence
robot‐assisted radical ureterectomy (RAU)
transurethral resection of the bladder tumor (TURBT)
upper tract urothelial cancer (UTUC)
title A new technique for ureteral resection to prevent urine dissemination and cancer seeding
title_full A new technique for ureteral resection to prevent urine dissemination and cancer seeding
title_fullStr A new technique for ureteral resection to prevent urine dissemination and cancer seeding
title_full_unstemmed A new technique for ureteral resection to prevent urine dissemination and cancer seeding
title_short A new technique for ureteral resection to prevent urine dissemination and cancer seeding
title_sort new technique for ureteral resection to prevent urine dissemination and cancer seeding
topic laparoscopic radical nephroureterectomy (LNU)
recurrence
robot‐assisted radical ureterectomy (RAU)
transurethral resection of the bladder tumor (TURBT)
upper tract urothelial cancer (UTUC)
url https://doi.org/10.1002/iju5.12777
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