V08-04 Robotic Radical Cystectomy and Right Renal Graft Nephroureterectomy for Urothelial Carcinoma in a Double Renal Transplant Recipient

You have accessJournal of UrologyBladder & Urothelial Upper Tract Oncology (V08)1 May 2024V08-04 ROBOTIC RADICAL CYSTECTOMY AND RIGHT RENAL GRAFT NEPHROURETERECTOMY FOR UROTHELIAL CARCINOMA IN A DOUBLE RENAL TRANSPLANT RECIPIENT Alessandro Marquis, Federico Lavagno, Marco Allasia, Marco Oderda, Simone Livoti, Giancarlo Marra, Francesco Soria, and Paolo Gontero Alessandro MarquisAlessandro Marquis , Federico LavagnoFederico Lavagno , Marco AllasiaMarco Allasia , Marco OderdaMarco Oderda , Simone LivotiSimone Livoti , Giancarlo MarraGiancarlo Marra , Francesco SoriaFrancesco Soria , and Paolo GonteroPaolo Gontero View All Author Informationhttps://doi.org/10.1097/01.JU.0001009440.59296.9f.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Renal transplant recipients (RTRs) have a 2- to 7-fold lifetime risk of developing a neoplasm compared to the general population. In these patients, bladder urothelial carcinoma (UC) has an incidence of 0.4-2% whilst, in the upper tract (UT), UC is relevant only in the context of aristolochic acid nephropathy. This video aims to illustrate an unusual case of robotic surgery. METHODS: A 29 y.o. solitary kidney male who previously underwent double renal transplants (2016 right and 2020 left iliac fossa) presented with hematuria and positive high-grade cytology. At the CT scan and endoscopic vision, a wide UC of the distal part of the right graft ureter extending to the bladder was detected. The transurethral resection revealed a pT2 HG G3 UC with CIS. After multidisciplinary discussion, robotic RC and right renal-graft radical nephroureterectomy (RNU) with prophylactic bilateral native ureterectomy and Florence robotic intracorporeal neobladder (FloRIN) were planned. RESULTS: The procedure was successfully performed. Technical aspects of the surgery are illustrated in the video. No intra- and postoperative complications were recorded. Blood losses were 200mL. Operative time was 420min. The monoJ placed to protect the left renal graft was removed after two weeks, while the urinary catheter three weeks after a negative cystogram. The final pathology revealed a bladder pT2a G3 HG UC and a pelvis and ureteral pT1G3HG UC with CIS. At 6 months after surgery, the patient was continent, potent, with an unchanged renal function, and disease-free. CONCLUSIONS: Robotic RC and renal graft RNU with FloRIN is a safe and feasible procedure, guaranteeing good functional outcomes and a low complications rate. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e558 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Alessandro Marquis More articles by this author Federico Lavagno More articles by this author Marco Allasia More articles by this author Marco Oderda More articles by this author Simone Livoti More articles by this author Giancarlo Marra More articles by this author Francesco Soria More articles by this author Paolo Gontero More articles by this author Expand All Advertisement PDF downloadLoading ...