腹腔镜肾切除术后肾窝复发伴同步的切口部位和阑尾转移：转移灶及腹壁整块切除的作用

Renal fossa recurrence with synchronous port site and appendicular metastases after laparoscopic nephrectomy: Role of metastases and abdominal wall en bloc resection.

作者信息

Chavarriaga Julián, Becerra Luis Miguel, Camacho Diego, Godoy Fabián, Varela Rodolfo

机构信息

Division of Urology, Pontificia Universidad Javeriana, Bogotá, Carrera 7 # 40-62, Colombia.

Department of Urologic Oncology, Instituto Nacional de Cancerologia, Bogotá, Colombia.

出版信息

Urol Case Rep. 2021 Apr 20;38:101681. doi: 10.1016/j.eucr.2021.101681. eCollection 2021 Sep.

DOI:10.1016/j.eucr.2021.101681

PMID:33996494

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8099734/

Abstract

Isolated renal fossa recurrence and port site metastasis after laparoscopic nephrectomy are two different entities, and despite being rare, in selected cases would benefit from surgical resection. We report the case of a 61-year-old male with local renal fossa recurrence with synchronous metastasis involving the port site, the abdominal wall and the appendix, which was successfully treated with open surgical resection and is free of metastasis or recurrence. To conclude opportune treatment of similar cases, remain a safe and curative option, and should be considered after reviewing the case within a multidisciplinary team.

摘要

腹腔镜肾切除术后孤立性肾窝复发和切口部位转移是两种不同的情况，尽管罕见，但在特定病例中手术切除可能有益。我们报告一例61岁男性患者，其肾窝局部复发并同时转移至切口部位、腹壁和阑尾，经开放手术切除成功治疗，目前无转移或复发。总之，对类似病例进行适时治疗仍然是一种安全有效的选择，应在多学科团队会诊后予以考虑。