[Diffuse urothelial tumor. Treatment by bilateral nephro-ureterectomy, cystoprostatectomy, renal autotransplantation with cutaneous trans-ileal pyelostomy. Results after 6 years].
A diffuse urothelial tumour in a solitary kidney does not necessarily require nephroureterocystectomy in order to satisfy oncological imperatives. The authors report the case of a 69-year-old man who, in an identical situation, was treated conservatively. Ex vivo surgery of the kidney offers remarkable exposure, allowing total pyelectomy followed by intra-hilar plasty of the excretory tract suitable for intestinal loop diversion. After a current follow-up of 6 years, the patient does not present any recurrence or metastasis.
Boudjema
K
K
Service de Chirurgie Générale II, Hôpital de Hautepierre, Strasbourg.
Wolf
P
P
Cinqualbre
J
J
D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D011468:Prostatectomy; D014513:Ureter / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion
Tumeur urothéliale diffuse. Traitement par néphro-urétérectomie bilatérale, cystoprostatectomie, autotransplantation rénale avec pyélostomie cutanée trans-iléale. Résultat à six ans.