Abstract
Laparoscopic indications are still growing due to the acquisition and development of new skills and expertise in the laparoscopic field. We report the first case of a successful transperitoneal right radical nephrectomy after intraperitoneal hyperthermic chemotherapy in a 56-year-old female who previously underwent multiple abdominal surgeries for appendicular adenocarcinoma with pseudomyxoma peritonei. In patients with multiples previous abdominal surgeries and intraperitoneal chemotherapy, transperitoneal laparoscopic surgeries are feasible in experienced hands. However, patient safety is paramount and conversion to open surgery should always be considered in case of complications.
MeSH terms
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Abdomen / surgery
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Adenocarcinoma / drug therapy
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Adenocarcinoma / secondary
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Adenocarcinoma / surgery
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Antineoplastic Agents / administration & dosage
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Appendiceal Neoplasms / drug therapy
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Appendiceal Neoplasms / pathology
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Appendiceal Neoplasms / surgery
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Carcinoma, Renal Cell / surgery*
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Female
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Humans
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Hyperthermia, Induced
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Kidney Neoplasms / surgery*
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Laparoscopy / methods*
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Middle Aged
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Neoplasms, Multiple Primary / therapy*
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Neoplasms, Second Primary / surgery*
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Nephrectomy / methods*
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Ovarian Neoplasms / drug therapy
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Ovarian Neoplasms / secondary
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Ovarian Neoplasms / surgery
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Peritoneal Neoplasms / drug therapy
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Peritoneal Neoplasms / pathology
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Peritoneal Neoplasms / surgery
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Pseudomyxoma Peritonei / drug therapy
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Pseudomyxoma Peritonei / surgery