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Case report. Patiënt met poortmetastasen na een robotgeassisteerde radicale cystectomie

Patiënt met poortmetastasen na een robotgeassisteerde radicale cystectomie

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Samenvatting

Radicale cystectomie (RC) is de gouden standaard voor spierinvasieve en hooggradige niet-spierinvasieve therapieresistente blaastumoren. Er wordt steeds meer gestreefd radicale cystectomie minimaal invasief te doen, bijvoorbeeld robotgeassisteerd (RARC). De oncologische risico’s hiervan worden nog onderzocht, evenals de chirurgische complicaties; deze risico’s lijken echter niet significant te verschillen van die van een open radicale cystectomie. Een poortmetastase na RARC is een zeldzame complicatie. De kans op het ontwikkelen daarvan lijkt niet groter dan de kans op het ontwikkelen van wondmetastasen na open chirurgie (1%). Er is nog geen evidencebased behandeling van poortmetastasen.

Wij presenteren een casus met poortmetastasen na RARC.

Summary

Patient with port-site metastases after robot assisted radical cystectomy

Radical cystectomy is the golden standard for muscle invasive and non-muscle invasive high grade therapy resistant bladder carcinoma. Minimally invasive treatment is being explored, for example the robot assisted radical cystectomy (RARC). The oncological risks are yet to be determined, as well as the surgical complications but they do not seem to differ from the risks of open cystectomy. Port-site metas tasis is a very rare complication of RARC. The chance of developing this complication appears to be comparable to the chance of developing wound metastases after open cystectomy (1%). There is no evidence-based treatment of port-site metastasis. We present a case with port-site metastases after RARC.

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Authors and Affiliations

  1. Polikliniek Urologie, Sint Franciscus Gasthuis, Rotterdam, The Netherlands

    F.C Lely

  2. afdeling Urologie, Sint Franciscus Gasthuis, Rotterdam, The Netherlands

    N. van Casteren &  R.I. Nooter

  3. afdeling Urologie, Vlietland Ziekenhuis, Schiedam, The Netherlands

    D.L. Liem

Authors
  1. F.C Lely
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  2. N. van Casteren
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  3. D.L. Liem
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  4. R.I. Nooter
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Correspondence to F.C Lely.

Additional information

* drs. F.C. Lely, aios urologie, Polikliniek Urologie, Sint Franciscus Gasthuis, Rotterdam

dr. N. van Casteren, uroloog, afdeling Urologie, Sint Franciscus Gasthuis, Rotterdam

dr. D.L. Liem, uroloog, afdeling Urologie, Vlietland Ziekenhuis, Schiedam

drs. R.I. Nooter, uroloog, afdeling Urologie, Sint Franciscus Gasthuis, Rotterdam

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Lely, F., van Casteren, N., Liem, D. et al. Case report. Patiënt met poortmetastasen na een robotgeassisteerde radicale cystectomie. Tijdschrift voor Urologie 5, 62–64 (2015). https://doi.org/10.1007/s13629-015-0016-0

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  • DOI: https://doi.org/10.1007/s13629-015-0016-0

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