Transperitoneal Laparoscopic Radical Nephrectomy for a 12 cm Renal Mass

2009 ◽  
Vol 76 (2) ◽  
pp. 150-152
Author(s):  
P. Parma ◽  
A. Samuelli ◽  
S. Guatelli ◽  
M. Luciano ◽  
B. Dall'Oglio ◽  
...  
Keyword(s):  
Radical Nephrectomy ◽  
Renal Mass ◽  
Renal Carcinoma ◽  
Operative Time ◽  
Standard Of Care ◽  
Laparoscopic Technique ◽  
Laparoscopic Radical Nephrectomy ◽  
Nephron Sparing ◽  
Operative Complications ◽  
The Right

Laparoscopic radical nephrectomy is now considered a standard of care for patients with T1 renal carcinoma not suitable for nephron-sparing surgery. In the hands of experienced laparoscopic urological surgeons also T2 renal cell carcinoma can be approached through the laparoscopic technique. We present the video of a radical laparoscopic nephrectomy in a patient with a 12cm renal mass of the right kidney. We chose the transperitoneal approach; the operative time was 240 minutes. There were neither intra- nor post-operative complications. The patient was discharged at day 4 postoperatively.

scholarly journals Nephron-sparing Techniques Independently Decrease the Risk of Cardiovascular Events Relative to Radical Nephrectomy in Patients with a T1a–T1b Renal Mass and Normal Preoperative Renal Function

2015 ◽  
Vol 67 (4) ◽  
pp. 683-689 ◽  
Author(s):  
Umberto Capitanio ◽  
Carlo Terrone ◽  
Alessandro Antonelli ◽  
Andrea Minervini ◽  
Alessandro Volpe ◽  
...  
Keyword(s):  
Renal Function ◽  
Radical Nephrectomy ◽  
Cardiovascular Events ◽  
Renal Mass ◽  
Nephron Sparing

HAND ASSISTED LAPAROSCOPIC RADICAL NEPHRECTOMY FOR RENAL CARCINOMA USING A NEW ABDOMINAL WALL SEALING DEVICE

2000 ◽  
Vol 164 (2) ◽  
pp. 314-318 ◽  
Author(s):  
MASATOSHI TANAKA ◽  
NORIAKI TOKUDA ◽  
HIROHUMI KOGA ◽  
AKIRA YOKOMIZO ◽  
NAOTAKA SAKAMOTO ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Radical Nephrectomy ◽  
Renal Carcinoma ◽  
Laparoscopic Radical Nephrectomy ◽  
Sealing Device

A rare case of a cystic renal mass with heterotopic ossification and a mini literature review

2021 ◽  
pp. 1-9
Author(s):  
Xisheng Wang ◽  
Zejian Zhang ◽  
Xia Zhu ◽  
Wende Cheng ◽  
Jiqing Fang ◽  
...  
Keyword(s):  
Literature Review ◽  
Heterotopic Ossification ◽  
Rare Case ◽  
Renal Mass ◽  
Renal Cyst ◽  
Left Kidney ◽  
Renal Tumors ◽  
Cystic Nephroma ◽  
Nephron Sparing ◽  
The Right

INTRODUCTION: It is a challenge to make accurate pre-surgical diagnosis for renal tumors. This study is to report the findings, management, and outcome of one rare case of ossification in a cystic renal mass. We present and discuss the pathological characteristics, radiologic features, and treatment alternatives of the patient. PATIENTS AND METHODS: A 38 years old female patient had intermittent epigastric pain and microscopic hematuria for two months. Computerized tomography (CT) scan and Magnetic Resonance imaging (MRI) showed a mass with rough edge and dense calcification in the upper pole of the right kidney and normal left kidney. Pre-operative diagnosis is cystic nephroma or cystic renal mass (Bosniak III type, Bosniak renal cyst classification). GFR was within normal limits for age and no other significant laboratory aberrations were noted. Patient underwent a right retroperitoneal laparoscopic partial nephrectomy (margin status was negative). A mini literature review was performed to highlight the principals of diagnosis and treatment of cystic renal mass with heterotopic ossification. RESULTS: The entire renal mass was successfully removed from upper pole of the right kidney by laparoscopic nephron sparing surgery. The size of renal mass is 38×35×30 mm3 with thick and hard capsular wall. The cystic cavity contains yellow lipid-like substances without stone. Histological examination revealed renal cyst in which the cyst wall reveals fibrosis and no obvious lining epithelium. The additional unique feature includes the presence of dense calcification and ossification in the renal mass. Localization tissue of yellow bone marrow was detected. No complications occurred in 9 months after surgery during follow-up. CONCLUSIONS: Cystic renal mass with heterotopic ossification is a rare case of non-malignant renal tumor. Whether surgery is needed depends to whether patients have symptoms. For symptom renal tumors, laparoscopic nephron sparing surgical procedure is recommended. Furthermore, complete surgical resection of the lesion is needed when the mass is suspected to be malignant. An accurate histologic diagnosis is key in its diagnosis.

scholarly journals PATIENT UNDERGOING COMBINED RIGHT RADICAL NEPHRECTOMY AND RIGHT ATRIAL TUMOUR EXCISION: ANAESTHETIC MANAGEMENT

2011 ◽  
Vol 01 (04) ◽  
pp. 46-49
Author(s):  
Manjunath R. Kamath ◽  
Krishna Prasad P. ◽  
Mundayat Gopalakrishnan ◽  
Rajeev T. P.
Keyword(s):  
Cardiopulmonary Bypass ◽  
Radical Nephrectomy ◽  
Renal Mass ◽  
Central Venous Access ◽  
Vena Cava ◽  
Venous Access ◽  
Anaesthetic Management ◽  
Right Atrial ◽  
Thoracic Epidural ◽  
The Right

AbstractWe describe anaesthetic management of a rare case of right atrial tumour with right renal mass posted for combined excision of right atrial tumor and right radical nephrectomy. Anaesthesia plan was combined thoracic epidural anaesthesia & general anaesthesia. Right renal mass was removed through the anterior subcostal incision, followed by the right atrial mass excision through the midline sternotomy incision under cardiopulmonary bypass. Issues related to the possibility of inferior vena cava (IVC) thrombus & its extension into the right atrium and the subsequent removal, pain management, ideal position of the central venous access, cardiopulmonary bypass with a single kidney are discussed.

scholarly journals Multilocular cystic nephroma treated with laparoscopic nephron-sparing surgery: A case report

2014 ◽  
Vol 8 (7-8) ◽  
pp. 545 ◽  
Author(s):  
Biao Dong ◽  
Yuantao Wang ◽  
Jianjian Zhang ◽  
Yaowen Fu ◽  
Gang Wang
Keyword(s):  
Case Report ◽  
Renal Mass ◽  
Unusual Case ◽  
Cystic Nephroma ◽  
Review Of The Literature ◽  
Nephron Sparing ◽  
Rare Benign Tumour ◽  
The Right ◽  
Treatment Alternatives ◽  
Unusual Case Report

Multilocular cystic nephroma is a relatively rare benign tumour of the kidney, which usually presents as a unilateral multicystic renal mass without solid elements. The lesions typically have a bimodal age, with peak incidence in male children under 24 months and another one in women over 40 old. We present an unusual case report of multilocular cystic nephroma in the right kidney in a 30-year-old male. Laparoscopic partial nephrectomy was performed. The pathologic examination confirmed a multilocular cystic nephroma in the right renal specimens. We present the image findings, pathological features, treatment alternatives and a review of the literature.

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