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Journal of Postgraduate Medicine
Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India
ISSN: 0022-3859 EISSN: 0022-3859
Vol. 49, No. 2, 2003, pp. 148-150
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Bioline Code: jp03038
Full paper language: English
Document type: Research Article
Document available free of charge
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Journal of Postgraduate Medicine, Vol. 49, No. 2, 2003, pp. 148-150
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Case Report - Laparoscopic Bilateral Nephroureterectomy and Bladder Cuff Excision for Native Renal Pelvic and Ureteral Transitional Cell Carcinoma after Renal Transplantation
Chen CH, Huan SK, Lin JT, Chiu AW
Abstract
A 37-years-old female who was suffering from end-stage renal disease for about 6 years received allograft renal transplantation 4 years ago. She has been receiving 50mgof Cyclosporin A orally daily for immuno-suppression since then. Gross haematuria was noted and computerised tomography showed native left renal pelvic and ureteral multi-focal transitional cell carcinoma with severe hydronephrosis. Laparoscopic bilateral nephroureterectomy and bladder cuff excision were performed. In the past, history of previous operation was considered a relative contraindication for laparoscopic surgery. To our knowledge, we present the first case of laparoscopic treatment for native renal pelvic and ureteral transitional cell carcinoma after renal allograft transplantation without a hand-assisted device. This case shows the feasibility of laparoscopic bilateral nephroureterectomy in patients with transplanted kidneys. (J Postgrad Med 2003;49:148-150)
Keywords
Carcinoma, transitional cell, kidney transplantation, laparoscopy
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