ArticleCureus2025
Laparoscopic Nephroureterectomy in a Patient With Hypofunctional Left Kidney and History of Ipsilateral Partial Nephrectomy: A Case Report and Review of the Literature.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Upper tract urothelial cancer (UTUC) represents a rare malignant urothelial disease arising from the inner surface of the ureter, the calyces or the renal pelvis. This case report describes a 67-year-old patient with a hypofunctional left kidney who was diagnosed with UTUC. This patient had undergone ipsilateral open partial nephrectomy for renal cell carcinoma two years ago. The peculiarities of our case are the therapeutic dilemma of selecting kidney-sparing surgery or radical nephroureterectomy (RNU) for high-risk UTUC in a single functioning kidney and the implementation of a laparoscopic RNU in an already operated field, rendering the operation extremely challenging. Diagnostic ureteroscopy (URS) revealed a large tumor in the right renal pelvis which extended and filled the upper calyces. Three weeks after the diagnostic URS, the patient underwent laparoscopic RNU. The total operative time was 2 hours and 36 minutes, while the estimated blood loss was 150 ml. Postoperatively the creatinine count ranged from 2.6 to 5.1 mg/dL. In this case report, laparoscopic RNU was feasible and effective for a patient with UTUC who has undergone previous kidney intervention. Although the endoscopic management of even high-risk UTUCs must be considered in patients with hypofunctional or single-functioning kidneys, the oncological safety of the patient must be also taken into consideration. The discussion with the patient about the advantages and the drawbacks of both approaches, and his perspective about quality of life are key points for the selection of the therapeutic approach.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.