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| Year : 2021 | Volume
: 37
| Issue : 2 | Page : 187-188 |
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The use of endoscopic combined intrarenal surgery as an additional approach to upper urinary tract urothelial carcinoma: Our Experience
Marco Serafino Grande, Davide Campobasso, Raffaele Inzillo, Matteo Moretti, Francesco Facchini, Jean Emmanuel Kwe, Antonio Frattini
Department of Urology, Civil Hospital of Guastalla, IRCCS Reggio Emilia, Reggio Emilia, Italy
Correspondence Address:
Marco Serafino Grande
Department of Urology, Civil Hospital of Guastalla, IRCCS Reggio Emilia, Reggio Emilia
Italy
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/iju.IJU_71_20
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Introduction: With increasing experience and advancing technology, endoscopy for UTUC has become more common. Endoscopic Combined Intrarenal Surgery (ECIRS) could be an option for patients with low-grade and large-volume UTUC that could be either anatomically or technically challenging to manage by retrograde flexible ureterorenoscopy.
Materials and Methods: In this video, we describe, step by step, our ECIRS technique as applied to two selected clinical cases of UTUC.
Conclusion: ECIRS could represent a useful approach to UTUC in selected cases. The advantage of the “endovision” puncture and dilation technique is in the avoidance of entering the renal calyx at the level of the tumor. In addition, the combined approach, compared to the purely percutaneous approach, allows access to, and treatment of, neoplasms located in all renal calyces. |
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