title: Transperitoneal laparoscopic radical nephrectomy after multiple previous abdominal surgeries and intraperitoneal hyperthermic chemotherapy:  a case report.
abstract: Laparoscopic indications are still growing due to the acquisition and development of new skills and expertise in the laparoscopic field.  We report the first case of a successful transperitoneal right radical nephrectomy after intraperitoneal hyperthermic chemotherapy in a 56-year-old female who previously underwent multiple abdominal surgeries for appendicular adenocarcinoma with pseudomyxoma peritonei.  In patients with multiples previous abdominal surgeries and intraperitoneal chemotherapy, transperitoneal laparoscopic surgeries are feasible in experienced hands.  However, patient safety is paramount and conversion to open surgery should always be considered in case of complications.
authors.affiliation: Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
authors.forename: Yves
authors.initials: Y
authors.lastname: Collin
authors.forename: Anne
authors.initials: A
authors.lastname: Méziat-Burdin
authors.forename: Robert
authors.initials: R
authors.lastname: Sabbagh
mesh_terms: D000005:Abdomen / Q000601:surgery; D000230:Adenocarcinoma / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D000970:Antineoplastic Agents / Q000008:administration & dosage; D001063:Appendiceal Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D006979:Hyperthermia, Induced; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000628:therapy*; D016609:Neoplasms, Second Primary / Q000601:surgery*; D009392:Nephrectomy / Q000379:methods*; D010051:Ovarian Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D011553:Pseudomyxoma Peritonei / Q000188:drug therapy / Q000601:surgery
chemical_list: D000970:Antineoplastic Agents