2015
DOI: 10.1089/cren.2015.0023
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Robot-Assisted Retroperitoneoscopic Surgery for Synchronous Contralateral Ureteral Metastasis of Renal-Cell Carcinoma

Abstract: Renal-cell carcinoma (RCC) with synchronous metastasis to contralateral ureter is extremely rare with only four cases reported in the literature. We report a case of synchronous metastatic RCC to the contralateral ureter with effective robot-assisted retroperitoneoscopic nephron-sparing surgery that leads to favorable oncologic and functional outcome.

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“…The 2020 European Society of Urology guidelines recommend that for single, <1 cm diameter, urological enhanced CT urography on which there is no surgery with preservation of the renal unit can be considered for low-grade upper urinary tract uroepithelial carcinoma with infiltrative manifestations, which allows for maximum tumour control while avoiding the side effects associated with radical resection. For certain special ureteral cancer patients, such as those with low malignancy and who must undergo surgery to preserve the renal unit, complete tumour resection with end-to-end ureteral anastomosis, ileal substitution ureterotomy or autologous kidney transplantation can be the main treatment (21)(22)(23). By contrast, when renal cancer is combined with ipsilateral ureteral cancer, total ureterectomy remains recommended.…”
Section: Discussionmentioning
confidence: 99%
“…The 2020 European Society of Urology guidelines recommend that for single, <1 cm diameter, urological enhanced CT urography on which there is no surgery with preservation of the renal unit can be considered for low-grade upper urinary tract uroepithelial carcinoma with infiltrative manifestations, which allows for maximum tumour control while avoiding the side effects associated with radical resection. For certain special ureteral cancer patients, such as those with low malignancy and who must undergo surgery to preserve the renal unit, complete tumour resection with end-to-end ureteral anastomosis, ileal substitution ureterotomy or autologous kidney transplantation can be the main treatment (21)(22)(23). By contrast, when renal cancer is combined with ipsilateral ureteral cancer, total ureterectomy remains recommended.…”
Section: Discussionmentioning
confidence: 99%