Korean J Urol.  2001 Dec;42(12):1344-1346.

Transitional Cell Carcinoma of Renal Pelvis Treated by Nephroureterectomy with Endoscopic Bladder Cuff Resection

• Lee KH
• Lee SB
• Seong DH
• Yoon SM

Abstract

Nephroureterectomy with excision of a cuff of the bladder is the standard surgical approach for upper urinary tract carcinoma. In 1952, a modified technique was described based on a prior endoscopic disconnection of the intramural ureter as an initial step for subsequent nephroureterectomy via a single lumbar incision. Two patients underwent surgery with some modification of this technique. We performed nephroureterectomies through a single lumbar incision combined with ureteral intussusception and transurethral resection of bladder cuff. There was no intraoperative complications and with an average follow up of 12 months, tumor has not recurred at either the resected trigonal area or the retroperitoneum. We believe that this method will be a useful alternative in surgical management of upper urinary tract carcinoma.

Keyword

Upper urinary tract carcinoma; Intussusception; Transurethral resection

MeSH Terms

Carcinoma, Transitional Cell*
Follow-Up Studies
Humans
Intraoperative Complications
Intussusception
Kidney Pelvis*
Ureter
Urinary Bladder*
Urinary Tract