60. Retroperitoneal laparoscopic partial nephectomy for a patient with bilateral renal tumor, a rare case report
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Abstract
Bilateral renal cell carcinoma is a rare disease that requires a treatment method that ensures complete tumor resection and preserves renal function. We report a case of a 67-year-old female patient with an incidental tumor discovery in both kidneys through imaging. The patient was indicated for bilateral laparoscopic retroperitoneal partial nephrectomy, one after the other, 3 weeks apart. Results after two surgeries were favorable, with no complication. Pathology showed oncocytic variant papillary renal cell carcinoma, grade I, negative margins. Renal function was well preserved. The results of surgery showed that laparoscopic retroperitoneal partial nephrectomy is a feasible and safe method for patients with bilateral renal tumors, however, the surgery should be performed in large centers with experienced surgeons.
Article Details
Keywords
Bilateral renal tumor, laparoscopic surgery, partial nephrectomy
References
2. Campbell SC, Clark PE, Chang SS, Karam JA, Souter L, Uzzo RG. Renal mass and localized renal cancer: evaluation, management, and follow-up: AUA guideline: part I. The Journal of urology. 2021; 206(2): 199-208.
3. Moch H, Amin MB, Berney DM, et al. The 2022 World Health Organization classification of tumours of the urinary system and male genital organs-part A: renal, penile, and testicular tumours. European urology. 2022; 82(5): 458-468.
4. Bourgi A, Ayoub E, Merhej S, Souky J, Roupret M, Bruyère F. A comparison of perioperative outcomes of transperitoneal versus retroperitoneal robot-assisted partial nephrectomy: a systematic review. Journal of Robotic Surgery. 2023; 17(6): 2563-2574.
5. Wright JL, Porter JR. Laparoscopic partial nephrectomy: comparison of transperitoneal and retroperitoneal approaches. The Journal of urology. 2005; 174(3): 841-845.
6. Di Maida F, Grosso AA, Sforza S, et al. Surgical management of synchronous, bilateral renal masses: a 1-decade referral center experience. European Urology Focus. 2022; 8(5): 1309-1317.
7. Wang B, Gong H, Zhang X, et al. Bilateral synchronous sporadic renal cell carcinoma: retroperitoneoscopic strategies and intermediate outcomes of 60 patients. PLoS One. 2016; 11(5): e0154578.
8. Gallo F, Sforza S, Luciani L, et al. Simultaneous robotic partial nephrectomy for bilateral renal masses. World Journal of Urology. 2022:1-6.