Published online Mar 16, 2021. doi: 10.12998/wjcc.v9.i8.1916
Peer-review started: October 20, 2020
First decision: December 24, 2020
Revised: December 26, 2020
Accepted: January 6, 2021
Article in press: January 6, 2021
Published online: March 16, 2021
Processing time: 135 Days and 23.5 Hours
The standard treatment of transitional cell carcinoma of the upper urinary tract consists of radical nephroureterectomy with bladder cuff removal, which can be performed either in open or laparoscopy or robot-assisted laparoscopy. Treatment of chronic renal insufficiency patients with upper urothelial tumor is in a dilemma. Urologists weigh and consider the balance between tumor control and effective renal function preservation. European Association of Urology guidelines recommend that select patients may benefit from endoscopic treatment, but laparoscopic treatment is rarely reported.
In this case report, we describe a case of 79-year-old female diagnosed with urothelial carcinoma of the renal pelvis and adrenal adenoma with chronic renal insufficiency. The patient was treated with retroperitoneal laparoscopic partial resection of the renal pelvis and adrenal adenoma resection simultaneously.
Retroperitoneal laparoscopic partial resection of the renal pelvis is an effective surgical procedure for the treatment of urothelial carcinoma of the renal pelvis.
Core Tip: For patients with chronic renal insufficiency diagnosed with renal pelvic urothelial carcinoma, retroperitoneal laparoscopic partial resection of the renal pelvis is a new effective surgical method and an alternative method for endoscopic treatment, especially for surgeons with rich experience in laparoscopic surgery and patients with other diseases for which laparoscopic surgery is needed simultaneously.