title: [Unusual metastatic spread after converted laparoscopic radical nephrectomy: natural history of the tumour or role of laparoscopy?].
abstract: Retroperitoneal or transperitoneal laparoscopic radical nephrectomy is currently proposed by an increasing number of urologists as an alternative to conventional open surgery to treat renal tumours. The authors report a case of metastasis to unusual sites (sigmoid colon, small intestine, root of the nose) after converted retroperitoneal laparoscopic radical nephrectomy for a T3 renal tumour, which raises the problem of the possible role of the laparoscopic approach in this unusual metastatic progression of the disease.
authors.affiliation: Clinique Urologique, CHU Hôtel-Dieu, Nantes, France. jfhetet@hotmail.com
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Hétet
authors.forename: Jérôme
authors.initials: J
authors.lastname: Rigaud
authors.forename: Brice
authors.initials: B
authors.lastname: Müller
authors.forename: Franck
authors.initials: F
authors.lastname: Léauté
authors.forename: Karine
authors.initials: K
authors.lastname: Renaudin
authors.forename: Olivier
authors.initials: O
authors.lastname: Bouchot
authors.forename: Georges
authors.initials: G
authors.lastname: Karam
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000368:Aged; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D009366:Neoplasm Seeding; D009392:Nephrectomy / Q000379:methods*