Radical cystectomy with extended lymphadenectomy in the presence of a pelvic kidney

Quek, Marcus L.; Basrawala, Zane; McClung, Christopher; Flanigan, Robert C.

doi:10.1016/j.urology.2006.03.048

Cited by 7 publications

(6 citation statements)

References 2 publications

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“…Three cases of radical cystectomy in the presence of an ectopic kidney have been reported, two of them in a fused pelvic kidney [ 6 – 8 ]. As mentioned before, great care is necessary to preserve the kidney's vasculature during lymphadenectomy and its mobilization to perform cystectomy.…”

Section: Discussionmentioning

confidence: 99%

Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations

Adamakis

Pournaras

Katafigiotis

et al. 2013

Case Reports in Medicine

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Our goal is to describe our experience in the difficulties encountered during radical cystectomy for muscle invasive bladder cancer in patients with contemporary pelvic kidney. Two patients with muscle invasive bladder cancer and contemporary pelvic kidney were subjected to radical cystectomy and extended lymphadenectomy with conversion to an ileal pouch. In both cases, lymphadenectomy was the first step after entering the true pelvis. In order to proceed to the cystoprostatectomy, careful dissection of the ectopic renal vessels and proper mobilization of the kidney were performed. In both cases, an ileal pouch was our choice. The pelvic kidney is the most common sight of renal ectopia. The etiology is the aborted ascent of the fetal kidney from its initial position in the pelvis. This is the first case series describing radical cystectomy for muscle invasive urothelial carcinoma of the bladder in patients with a pelvic kidney.

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Section: Discussionmentioning

confidence: 99%

Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations

Adamakis

Pournaras

Katafigiotis

et al. 2013

Case Reports in Medicine

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“…Robotic technology can improve procedural certainty and safety by aiding complex laparoscopic procedures with three-dimensional visualization and wrist-jointed instruments that facilitate suturing within the body cavity. There are reports of open total cystectomy in patients with ectopic kidneys (3)(4)(5); however, to date, at least to the best of our knowledge, no cases have been reported involving a RARC.…”

Section: Introductionmentioning

confidence: 93%

“…The number of muscle-invasive bladder cancers (MIBCs) requiring total cystectomy is increasing. The co-existence of ectopic kidneys with bladder cancer further complicates the surgical procedure and it thus becomes problematic (3)(4)(5). Robot-assisted radical cystectomy (RARC) has expanded from the purely laparoscopic approach and is steadily gaining popularity among urologists.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of robot‑assisted radical cystectomy in a patient with an ectopic kidney: A case report

Edamura

Sadahira

Hara

et al. 2022

Med Int

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An ectopic kidney is a rare congenital defect in which the kidney does not migrate to its normal anatomical position. In the present study, a robot-assisted radical cystectomy and intracorporeal urinary diversion were performed for a patient with an ectopic kidney. The present study describes the case of a 72-year-old male patient who was diagnosed with a bladder tumor by magnetic resonance imaging and cystoscopy. A transurethral resection of the bladder tumor was performed. The pathological examination revealed an invasive urothelial carcinoma. Contrast-enhanced computed tomography revealed an ectopic left kidney in the upper pelvis. A robot-assisted radical cystectomy, extended lymph node dissection and intracorporeal urinary diversion were performed. On the whole, as demonstrated herein, a robot-assisted radical cystectomy with intracorporeal urinary diversion is a feasible approach for muscle-invasive bladder cancer complicated by an ectopic kidney.

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confidence: 99%

Applicability and feasibility of robot-assisted cystectomy and intracorporeal urinary diversion in a patient with right renal pelvic ectopia

Puliatti,

Ferretti,

Peñaranda

et al. 2024

Int. braz j urol.

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Background: The ectopic pelvic kidney, a common renal anomaly, is often smaller and malformed, with a shorter and sometimes tortuous ureter ( 1 ). Muscle-invasive bladder cancer (MIBC), constituting 15-25% of bladder cancer cases ( 2 ), mandates radical cystectomy with a 50% 5-year survival rate ( 2 ). Despite the growing use of robot-assisted radical cystectomy (RARC) ( 3 , 4 ), there is limited data on its application in ectopic kidneys. Only one RARC case has been reported ( 5 ), in contrast to numerous open radical cystectomies ( 1 , 6 ) involving an ectopic kidney. Patient and methods: After being diagnosed with T2 high-grade urothelial carcinoma, the 66-year-old patient, previously treated with multiple transurethral resections and adjuvant BCG therapy, received neoadjuvant chemotherapy. Preoperative staging CT revealed a 2.6 x 2.2 cm bladder neoformation and an ectopic right pelvic kidney. Results: Using the da Vinci Surgical System, radical cystectomy with ileal conduit (sec Wallace II) and lymphadenectomy were performed. During the demolition phase, the shorter right ureter was dissected with care to avoid damage to the renal pedicle. The reconstructive phase included intracorporeal urinary diversion (ICUD) and uretero-ileal anastomosis, facilitated by the favorable position of the kidney. The 8-hour console surgery resulted in minimal blood loss. Discharged on day 16 due to COVID-19, the patient exhibited positive outcomes. A 2-month CT follow-up revealed no cancer recurrence, metastasis, hydronephrosis, and complete regression of the lymphocele. Imaging follow-up continues without postoperative adjuvant chemotherapy. Conclusion: Robotic surgery with intracorporeal urinary diversion holds potential for right-sided pelvic kidney cases, but additional studies are necessary for validation.

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Radical cystectomy with extended lymphadenectomy in the presence of a pelvic kidney

Cited by 7 publications

References 2 publications

Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations

Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations

Feasibility of robot‑assisted radical cystectomy in a patient with an ectopic kidney: A case report

Applicability and feasibility of robot-assisted cystectomy and intracorporeal urinary diversion in a patient with right renal pelvic ectopia

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