V08-01 Percutaneous Resectoscope and Endoscopic Combined Intrarenal Surgery (Ecirs) for Upper Tract Urothelial Carcinoma

You have accessJournal of UrologyBladder & Urothelial Upper Tract Oncology (V08)1 May 2024V08-01 PERCUTANEOUS RESECTOSCOPE AND ENDOSCOPIC COMBINED INTRARENAL SURGERY (ECIRS) FOR UPPER TRACT UROTHELIAL CARCINOMA Daniel M. Ufearo, Reza Roshandel, Julio G. Davalos, Abdolmajid Eshghi, and Daniel Rosen Daniel M. UfearoDaniel M. Ufearo , Reza RoshandelReza Roshandel , Julio G. DavalosJulio G. Davalos , Abdolmajid EshghiAbdolmajid Eshghi , and Daniel RosenDaniel Rosen View All Author Informationhttps://doi.org/10.1097/01.JU.0001009440.59296.9f.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: For patients with low-grade upper tract urothelial carcinoma or those with high-grade disease who are poor surgical candidates for radical nephroureterectomy, nephron-sparing endoscopic methods offer viable alternatives that can not only provide effective disease control but also preserve kidney function. Traditionally, these nephron-sparing techniques have relied on either retrograde ureteroscopy or percutaneous antegrade endoscopy to treat UTUC. This video abstract will demonstrate the combined utilization of retrograde ureteroscopy and percutaneous resection of upper tract urothelial carcinoma. Combining these two techniques has the potential to enhance the efficacy and outcomes of treating UTUC while minimizing the impact on kidney function. METHODS: Footage from combined percutaneous and endoscopic intrarenal surgery was collected for review and editing. A flexible ureteroscope and an antegrade 15 French resectoscope through an 18 French renal access sheath were used. Apple iMovie was used to edit the clips to succinctly detail the approach for physicians and trainees. The video demonstrates the technical advantages facilitated by simultaneous antegrade-retrograde lesion visualization as it relates to efficient assessment, hemostasis, and resection. RESULTS: The patients underwent conservative treatment for upper tract urothelial carcinoma. Tumor resection was successful with no evidence of residual disease on the CT Urogram. There were no post-operative complications. CONCLUSIONS: Combined percutaneous and endoscopic intrarenal surgery can effectively be used for the resection of upper tract urothelial carcinoma in patients with comorbidities precluding them from radical nephroureterectomy. Doing so allows for a complete assessment of the kidney and ureter, excellent resection, and meticulous hemostasis. Our video provides a simple description of the approach for the education of physicians and trainees. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e557 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Daniel M. Ufearo More articles by this author Reza Roshandel More articles by this author Julio G. Davalos More articles by this author Abdolmajid Eshghi More articles by this author Daniel Rosen More articles by this author Expand All Advertisement PDF downloadLoading ...