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| CASE REPORT |
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| Year : 2003 | Volume
: 49
| Issue : 2 | Page : 148-50 |
Laparoscopic bilateral nephroureterectomy and bladder cuff excision for native renal pelvic and ureteral transitional cell carcinoma after renal transplantation.
CH Chen, SK Huan, JT Lin, AW Chiu
Department of Surgery, Chi Mei Medical Center, Tainan, Taiwan. , Taiwan
Correspondence Address:
C H Chen
Department of Surgery, Chi Mei Medical Center, Tainan, Taiwan.
Taiwan
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 12867691 
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 50mg of 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.
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