Is Laparoscopic Oncological Surgery After an Open Surgery Possible?

Abstract

This paper presents a case of a 55-year-old male patient with pain in the right lumbar region and hematuria. An abdominopelvic computed tomography was performed, and a tumor was discovered in the right renal pelvis. An open right radical nephrectomy was performed. She returned again with hematuria, thus cystoscopy, ureteroscopy, and selective cytology were performed, and local recurrence in the right ureter was documented. A radical right radical ureterectomy with laparoscopic bladder encirclement and extended lymphadenectomy was performed, with a histopathological report of right ureter with low-grade urothelial carcinoma. The patient showed satisfactory progress and was monitored. With this article, we stress that with adequate training, experience, and practice in laparoscopic surgery, excellent oncological and aesthetic results can be obtained, which is comparable to open surgery, but with the benefit of rapid recovery and less pain and bleeding. Therefore, we believe that with practice, laparoscopic oncological surgery after an open surgery is perfectly feasible.