コンドウ　ツネノリ   Kondou Tsunenori   近藤　恒徳    所属   医学部 医学科（附属足立医療センター）    職種   教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Robot-Assisted Radical Cystectomy With Orthotopic Neobladder as a Urinary Diversion for a Kidney Transplant Recipient: A Case Report.
掲載誌名	正式名：Transplantation proceedings 略　 称：Transplant Proc ISSNコード：18732623/00411345
掲載区分	国外
巻・号・頁	52(2),pp.608-613
著者・共著者	Ishiyama Yudai, Yoshida Kazuhiko, Iizuka Junpei, Unagami Kohei, Hashimoto Kiyoshi, Moriyama Ikumi, Unagami Kohei, Takagi Toshio, Kakuta Yoichi, Okumi Masayoshi, Kondo Tsunenori, Ishida Hideki, Tanabe Kazunari
発行年月	2020/03
概要	BACKGROUND:A higher prevalence of bladder cancer is reported in solid organ recipients, and advanced cancer requires radical cystectomy combined with urinary diversion. Surgery is technically challenging in kidney transplant recipients because of urinary tract abnormalities. Here, we describe the use of a robot-assisted approach in a kidney transplant recipient.CASE PRESENTATION:The etiology of the patient's end-stage renal disease was bilateral hypoplastic kidney. The patient started to receive hemodialysis at 19 years of age and underwent living-related kidney transplant at 23 years of age. Thirteen years later, he was diagnosed with invasive urothelial carcinoma and underwent robot-assisted radical cystectomy with extracorporeal neobladder construction under open laparotomy. Surgery was indicated to enhance suture flexibility and dissection of the peribladder tissues. Although the patient had an intraperitoneal infection caused by leakage from the vesicourethral anastomosis site and required drainage of the abscess, his condition stabilized after antibiotic treatment.CONCLUSION:This case outlines the effectiveness of the robot-assisted approach in patients with urinary tract abnormalities, such as kidney transplant recipients.
DOI	10.1016/j.transproceed.2019.12.002
PMID	32085860