Abstract

VARGAS-ROCHA, Vladimir E.; SEGALES-ROJAS, Patricia  and  VARGAS ROCHA, Brian Erland. LUMBOSCOPIC RADICAL NEPHROURETERECTOMY WITH ENDOSCOPIC BLADDER CUFF EXCISION IN AN UPPER URINARY TRACT UROTHELIAL TUMOR. Rev Cient Cienc Méd [online]. 2022, vol.25, n.1, pp.68-72.  Epub Sep 31, 2022. ISSN 1817-7433.  https://doi.org/10.51581/rccm.v25i1.471.

Urothelial carcinomas are the 4th most common tumor. They can be located in the lower urinary tract (bladder and urethra) or in the upper urinary tract (renal cavities, renal pelvis, and ureter).

We present a series of 3 cases, with a picture of macroscopic hematuria, documenting urothelial tumors, performing in these cases a lumboscopic approach to the kidney and an endoscopic resection of the bladder rim. Lumboscopic nephroureterectomy was performed with transurethral endoscopic bladder rump resection. The 3 patients were discharged on the second postoperative day without complications and in the three cases the bladder rim without evidence of tumor activity, and currently under surveillance with excellent oncological results.

Lumboscopic nephroureterectomy with endoscopic resection of the bladder rim is a reproducible technique in experienced hands, with the same oncological results as the open approach.

Keywords : Nephroureterectomy; endoscopic; bladder.

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