Palmer Blake W, Strom Kurt, Wong Carson
University of Oklahoma, Department of Urology, Oklahoma City, Oklahoma 73102, USA.
JSLS. 2011 Jul-Sep;15(3):412-4. doi: 10.4293/108680811X13125733357197.
Upper tract invasive urothelial carcinoma and horseshoe kidneys are familiar to the practicing urologist but relatively rare individual entities. The complication of managing them when they coexist in the same patient can be challenging. Herein, we present the first reported case in which an upper tract invasive urothelial carcinoma in a horseshoe kidney was successfully managed with a combined hand-assisted laparoscopic nephroureterectomy and isthmusectomy with cystoscopic en-bloc excision of the distal ureter and bladder cuff. This highlights the fact that complex anatomy can be managed in a completely minimally invasive fashion, and sound oncologic principles can still be maintained.
上尿路浸润性尿路上皮癌和马蹄肾对于执业泌尿科医生来说并不陌生，但它们都是相对罕见的个体情况。当它们在同一患者中共存时，对其进行管理的并发症可能具有挑战性。在此，我们报告首例马蹄肾合并上尿路浸润性尿路上皮癌患者，通过联合手辅助腹腔镜肾输尿管切除术、峡部切除术及膀胱镜下整块切除远端输尿管和膀胱袖口成功治疗。这凸显了复杂解剖结构可以通过完全微创的方式进行处理，同时仍能遵循可靠的肿瘤学原则。
