Author： Kwan Kevin G. Chew Ben H. Luke Patrick P.W. Denstedt John D. Pautler Stephen E.
Publisher： Society of Laparoendoscopic Surgeons
ISSN： 1086-8089
Source： JSLS, Journal of the Society of Laparoendoscopic Surgeons, Vol.10, Iss.4, 2006-10, pp. : 535-537
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Abstract
Percutaneous approaches to upper tract urothelial cancers have been performed in patients unsuitable for radical nephroureterectomy. We present the case of an 82-year-old man with significant comorbidities including dependency on a cardiac pacemaker. Without deactivating the pacemaker, we used bipolar cautery to percutaneously resect a large upper tract urothelial tumor in the renal pelvis. Bipolar cautery is a suitable method of percutaneous or transurethral resection in patients who are pacemaker dependent.
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