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RESIDENT’S CORNER

Transperitoneal laparoscopic radical nephrectomy after multiple previous abdominal surgeries and intraperitoneal hyperthermic chemotherapy: a case report

Yves Collin¹, Anne Méziat-Burdin², Robert Sabbagh³

1 Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada
2 Department of Urology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
3 Department of Surgery, Université de Sherbrooke, Sherbrooke, Quebec, Canada
Address correspondence to Dr. Yves Collin, Faculté de medicine, Université de Sherbrooke, 3001 12e avenue Nord, Sherbrooke, QC J1H 5N4 Canada

Canadian Journal of Urology 2012, 19(2), 6204-6206.

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.

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