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:	Hindawi Limited 2013-01-01
Series:	Case Reports in Medicine
Online Access:	http://dx.doi.org/10.1155/2013/841806

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spelling	doaj-9152efa3046b474980f57b3727bc07e12020-11-24T21:00:01ZengHindawi LimitedCase 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
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	I. Adamakis C. Pournaras I. Katafigiotis G. Kousournas E. Fragkiadis I. Leotsakos C. Alamanis D. Mitropoulos C. Constantinides
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
author_facet	I. Adamakis C. Pournaras I. Katafigiotis G. Kousournas E. Fragkiadis I. Leotsakos C. Alamanis D. Mitropoulos C. Constantinides
author_sort	I. Adamakis
title	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_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_sort	radical cystectomy and lymphadenectomy to two patients with pelvic kidney: surgical pitfalls and considerations
publisher	Hindawi Limited
series	Case Reports in Medicine
issn	1687-9627 1687-9635
publishDate	2013-01-01
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.
url	http://dx.doi.org/10.1155/2013/841806
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Radical Cystectomy and Lymphadenectomy to Two Patients with Pelvic Kidney: Surgical Pitfalls and Considerations

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