[Unusual metastatic spread after converted laparoscopic radical nephrectomy: natural history of the tumour or role of laparoscopy?].
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.
Hétet
Jean-François
JF
Clinique Urologique, CHU Hôtel-Dieu, Nantes, France. jfhetet@hotmail.com
Rigaud
Jérôme
J
Müller
Brice
B
Léauté
Franck
F
Renaudin
Karine
K
Bouchot
Olivier
O
Karam
Georges
G
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*