Adamakis I, Pournaras C, Katafigiotis I, Kousournas G, Fragkiadis E, Leotsakos I, Alamanis C, Mitropoulos D, Constantinides C
1st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, Greece.
Case Rep Med. 2013;2013:841806. doi: 10.1155/2013/841806. Epub 2013 Nov 4.
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.
我们的目标是描述我们在为患有现代盆腔肾的肌肉浸润性膀胱癌患者进行根治性膀胱切除术时遇到的困难的经验。两名患有肌肉浸润性膀胱癌和现代盆腔肾的患者接受了根治性膀胱切除术和扩大淋巴结清扫术，并改为回肠膀胱术。在这两个病例中，淋巴结清扫术是进入真骨盆后的第一步。为了进行膀胱前列腺切除术，对异位肾血管进行了仔细解剖，并对肾脏进行了适当的游离。在这两个病例中，我们都选择了回肠膀胱术。盆腔肾是肾异位最常见的部位。其病因是胎儿肾脏从盆腔初始位置上升受阻。这是首个描述为患有盆腔肾的患者进行肌肉浸润性膀胱尿路上皮癌根治性膀胱切除术的病例系列。
