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Simultaneous robot-assisted radical cystoprostatectomy and nephroureterectomy in a patient with multifocal invasive urothelial carcinoma and previous contralateral nephroureterectomy

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Abstract

We present a case of simultaneous robot-assisted radical cystoprostatectomy and nephroureterectomy with extended lymphadenectomy for multifocal invasive urothelial carcinoma in a patient with recurrent high-grade urothelial cancer and a previous right nephroureterectomy. The total urinary exenteration and extended lymphadenectomy was successfully performed with robot-assisted surgery in this unique case where the patient was rendered anephric at the end of the operation. We discuss the operative steps and the techniques performed to optimize the oncological results of robot-assisted surgery for invasive urothelial carcinoma, while attempting to preserve the renal function until the patient’s urinary system was totally exenterated.

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References

  1. Holton MR, Van Zijl PS, Oberle WT, Jacobs SC, Sklar GN (2006) Complete urinary tract extirpation: the University of Maryland experience. Urology 68:65–69

    Article  PubMed  Google Scholar 

  2. Barros R, Frota R, Stein RJ, Turna B, Gill IS, Desai MM (2008) Simultaneous laparoscopic nephroureterectomy and cystectomy: a preliminary report. Int Braz J Urol 34(4):413–421

    Article  PubMed  Google Scholar 

  3. Li CC, Wang HS, Wu WJ, Chou YH, Liu CC, Long CY, Hus SC, Chuang CH, Jang MY, Huang SP, Juan YS, Huang CH (2009) Laparoscopic complete urinary tract exenteration with the specimen withdrawn transvaginally. BJU Int 104(1):82–86

    Article  PubMed  Google Scholar 

  4. Benabdallah JO, Hampton LJ, Guruli G, Grob BM (2012) Robot-assisted laparoscopic combined nephroureterectomy and cystoprostatectomy: an initial report and review of the literature. J Robot Surg 6(2):159–162

    Article  Google Scholar 

  5. Finelli A, Gill IS, Desai MM, Moinzadeh A, Magi-Galluzzi C, Kaouk JH (2004) Laparoscopic extended pelvic lymphadenectomy for bladder cancer: technique and initial outcomes. J Urol 172(5 Pt 1):1809–1812

    Article  PubMed  Google Scholar 

  6. Shao P, Meng X, Li J, Lv Q, Zhang W, Xu Z, Yin C (2011) Laparoscopic extended pelvic lymph node dissection during radical cystectomy: technique and clinical outcomes. BJU Int 108(1):124–128

    Article  PubMed  Google Scholar 

  7. Abaza R, Dangle PP, Gong MC, Bahnson RR, Pohar KS (2012) Quality of lymphadenectomy is equivalent with robotic and open cystectomy using an extended template. J Urol 187(4):1200–1204

    Article  PubMed  Google Scholar 

  8. Desai MM, Berger AK, Brandina RR, Zehnder P, Simmons M, Aron M, Skinner EC, Gill IS (2012) Robotic and laparoscopic high extended pelvic lymph node dissection during radical cystectomy: technique and outcomes. Eur Urol 61(2):350–355

    Article  PubMed  Google Scholar 

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Written informed consent was obtained from the patient for publication of this Case Report. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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Correspondence to Bora Özveren.

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Özveren, B., Türkeri, L. Simultaneous robot-assisted radical cystoprostatectomy and nephroureterectomy in a patient with multifocal invasive urothelial carcinoma and previous contralateral nephroureterectomy. J Robotic Surg 7, 393–396 (2013). https://doi.org/10.1007/s11701-012-0381-0

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  • DOI: https://doi.org/10.1007/s11701-012-0381-0

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