Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations
| Autor: | Ioannis Leotsakos, Christos Alamanis, Ioannis Adamakis, Dionysios Mitropoulos, Christos Pournaras, Constantinos A Constantinides, E. Fragkiadis, G. Kousournas, Ioannis Katafigiotis |
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| Rok vydání: | 2013 |
| Předmět: |
Pelvic kidney
medicine.medical_specialty Bladder cancer Renal ectopia business.industry medicine.medical_treatment lcsh:R lcsh:Medicine Case Report General Medicine medicine.disease Cystoprostatectomy Fetal Kidney Surgery Cystectomy medicine.anatomical_structure Medicine Lymphadenectomy business Pelvis |
| Zdroj: | Case Reports in Medicine Case Reports in Medicine, Vol 2013 (2013) |
| ISSN: | 1687-9635 1687-9627 |
| DOI: | 10.1155/2013/841806 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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