纯腹腔镜下根治性输尿管切除术治疗肾切除术后输尿管残端发生的尿路上皮癌：1例报告
Pure laparoscopic total ureterectomy for urothelial carcinoma that occurred in the ureteral stump after nephrectomy: A case report.
作者信息
Katsui Masahiro, Iwasawa Tomohiro, Kitaoka Sotaro, Hideki Orikasa, Hattori Seiya, Hara Satoshi
机构信息
Department of Urology, Kawasaki Municipal Hospital, 12-1 Shinkawadori, Kawasaki-ku, Kawasaki-city, Kanagawa, Japan.
Department of Urology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan.
出版信息
Urol Case Rep. 2021 Feb 26;37:101618. doi: 10.1016/j.eucr.2021.101618. eCollection 2021 Jul.
Primary carcinoma of the ureteral stump following a radical nephrectomy is rare, and it is even rarer that the cause of the nephrectomy is renal cell carcinoma (RCC). Treatment by complete ureterectomy with a bladder cuff is considered as the standard treatment. We report a case of a 70-year-old female with urothelial carcinoma with glandular differentiation that occurred in the ureteral stump after nephrectomy for left RCC. We performed a novel technique of pure laparoscopic resection of the ureteral stump with a bladder cuff.
根治性肾切除术后输尿管残端原发性癌罕见，而肾切除术病因是肾细胞癌（RCC）的情况更为罕见。采用带膀胱袖口状切除的全输尿管切除术被认为是标准治疗方法。我们报告一例70岁女性患者，其在因左肾细胞癌行肾切除术后，输尿管残端发生了伴有腺性分化的尿路上皮癌。我们采用了一种新型技术，即纯腹腔镜下带膀胱袖口状切除输尿管残端。
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