title: Percutaneous resection of renal urothelial carcinoma using bipolar electrocautery.
abstract: Percutaneous approaches to upper tract urothelial cancers have been performed in patients unsuitable for radical nephroureterectomy. We present the case of an 82-year-old man with significant comorbidities including dependency on a cardiac pacemaker. Without deactivating the pacemaker, we used bipolar cautery to percutaneously resect a large upper tract urothelial tumor in the renal pelvis. Bipolar cautery is a suitable method of percutaneous or transurethral resection in patients who are pacemaker dependent.
authors.affiliation: Division of Urology, University of Western Ontario, London, Ontario, Canada.
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Kwan
authors.forename: Ben H
authors.initials: BH
authors.lastname: Chew
authors.forename: Patrick P W
authors.initials: PP
authors.lastname: Luke
authors.forename: John D
authors.initials: JD
authors.lastname: Denstedt
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Pautler
mesh_terms: D000369:Aged, 80 and over; D015897:Comorbidity; D003937:Diagnosis, Differential; D004564:Electrocoagulation; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000601:surgery*