PARTIAL NEPHRECTOMY FOR BILATERAL RENAL CANCER: CASE REPORT

Roberto Sanseverino1, Umberto Di Mauro1, Oliver Intilla1, Giovanni Molisso1, Tommaso Realfonso1, Carmine Papa2, Giorgio Napodano1
  • 1 Ospedale Umberto I - ASL Salerno, U.O.C. Urologia (Nocera Inferiore)
  • 2 Ospedale Umberto I - ASL Salerno, U.O.C. Anestesia e Rianimazione (Nocera Inferiore)

Abstract

Video shows a case of a patient who underwent a two-stage LPN for bilateral renal cancer: a right mesorenal (42 mm) and a left hilar (38mm) lesions. RENAL score of tumours was 8p and 9p, respectively. Renography revealed a GFR 77 ml/min (right 40 ml/min; left 37 ml/min). Patient underwent two surgical procedures. In the first, a right transperitoneal approach was performed; the tumour is identified. The renal artery was clamped with bull dog. The tumour was excised. Renorraphy was performed with Vicryl™ sutures secured with Hem-O-lock clips. The artery was unclamped. A Floseal™ was applied on the resected renal surface. In the second procedure, a left transperitoneal approach was performed; the tumour is identified. The renal artery was clamped with bull dog. The tumour was excised. Renorraphy was performed with Vicryl™ sutures secured with absorbable clips. The artery was unclamped. A Floseal™ was applied on the resected renal surface. Warm ischemia time of both procedures was 20 and 23 minutes, respectively. No postoperative complications occurred. Histological evaluation revealed RCC (pT1b and pT1a). Bilateral laparoscopic partial nephrectomy is a feasible procedure that allows a good oncological control of bilateral synchronous renal cancer

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