Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations

Our goal is to describe our experience in the difficulties encountered during radical cystectomy for muscle invasive bladder cancer in patients with contemporary pelvic kidney. Two patients with muscle invasive bladder cancer and contemporary pelvic kidney were subjected to radical cystectomy and ex...

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Main Authors: I. Adamakis, C. Pournaras, I. Katafigiotis, G. Kousournas, E. Fragkiadis, I. Leotsakos, C. Alamanis, D. Mitropoulos, C. Constantinides
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/841806
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author I. Adamakis
C. Pournaras
I. Katafigiotis
G. Kousournas
E. Fragkiadis
I. Leotsakos
C. Alamanis
D. Mitropoulos
C. Constantinides
author_facet I. Adamakis
C. Pournaras
I. Katafigiotis
G. Kousournas
E. Fragkiadis
I. Leotsakos
C. Alamanis
D. Mitropoulos
C. Constantinides
author_sort I. Adamakis
collection DOAJ
description Our goal is to describe our experience in the difficulties encountered during radical cystectomy for muscle invasive bladder cancer in patients with contemporary pelvic kidney. Two patients with muscle invasive bladder cancer and contemporary pelvic kidney were subjected to radical cystectomy and extended lymphadenectomy with conversion to an ileal pouch. In both cases, lymphadenectomy was the first step after entering the true pelvis. In order to proceed to the cystoprostatectomy, careful dissection of the ectopic renal vessels and proper mobilization of the kidney were performed. In both cases, an ileal pouch was our choice. The pelvic kidney is the most common sight of renal ectopia. The etiology is the aborted ascent of the fetal kidney from its initial position in the pelvis. This is the first case series describing radical cystectomy for muscle invasive urothelial carcinoma of the bladder in patients with a pelvic kidney.
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institution Kabale University
issn 1687-9627
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language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-9152efa3046b474980f57b3727bc07e12025-02-03T01:25:37ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/841806841806Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and ConsiderationsI. Adamakis0C. Pournaras1I. Katafigiotis2G. Kousournas3E. Fragkiadis4I. Leotsakos5C. Alamanis6D. Mitropoulos7C. Constantinides81st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, Greece1st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, Greece1st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, Greece1st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, Greece1st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, Greece1st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, Greece1st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, Greece1st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, Greece1st Department of Urology, Laiko Hospital, University of Athens Medical School, 17 Agiou Thoma Street, 11527 Athens, GreeceOur goal is to describe our experience in the difficulties encountered during radical cystectomy for muscle invasive bladder cancer in patients with contemporary pelvic kidney. Two patients with muscle invasive bladder cancer and contemporary pelvic kidney were subjected to radical cystectomy and extended lymphadenectomy with conversion to an ileal pouch. In both cases, lymphadenectomy was the first step after entering the true pelvis. In order to proceed to the cystoprostatectomy, careful dissection of the ectopic renal vessels and proper mobilization of the kidney were performed. In both cases, an ileal pouch was our choice. The pelvic kidney is the most common sight of renal ectopia. The etiology is the aborted ascent of the fetal kidney from its initial position in the pelvis. This is the first case series describing radical cystectomy for muscle invasive urothelial carcinoma of the bladder in patients with a pelvic kidney.http://dx.doi.org/10.1155/2013/841806
spellingShingle I. Adamakis
C. Pournaras
I. Katafigiotis
G. Kousournas
E. Fragkiadis
I. Leotsakos
C. Alamanis
D. Mitropoulos
C. Constantinides
Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations
Case Reports in Medicine
title Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations
title_full Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations
title_fullStr Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations
title_full_unstemmed Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations
title_short Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations
title_sort radical cystectomy and lymphadenectomy to two patients with pelvic kidney surgical pitfalls and considerations
url http://dx.doi.org/10.1155/2013/841806
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