[91] Challenging case: Robot-assisted right-sided partial nephrectomy for a large central renal mass – Is it feasible?
Objective: To demonstrate robot-assisted right-sided partial nephrectomy for a large central renal mass. Based on current available oncological and quality of life (QoL) outcomes, localised renal masses are better managed by nephron-sparing surgery [partial nephrectomy (PN)] rather than radical neph...
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| Format: | article |
| Langue: | EN |
| Publié: |
Taylor & Francis Group
2018
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| Accès en ligne: | https://doaj.org/article/c29cf301e850492f94172ff1a88f89e9 |
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| Résumé: | Objective: To demonstrate robot-assisted right-sided partial nephrectomy for a large central renal mass. Based on current available oncological and quality of life (QoL) outcomes, localised renal masses are better managed by nephron-sparing surgery [partial nephrectomy (PN)] rather than radical nephrectomy (RN), but central tumours are very challenging for surgeons. From our standpoint, robot-assisted surgery is not only a minimally invasive method, but the only choice for performing a very complicated operation that we usually cannot do laparoscopically or conventionally. Methods: A 77-year-old woman with bilateral renal masses. She underwent a robot-assisted PN on the left side 4 weeks ago. The mass on the right side is central and ∼8 cm big. Results: We performed a right-sided robot-assisted PN. The ischaemia time was 15 min. The operation duration was 85 min without significant blood loss. The patient was discharged on the fourth postoperative day. The pathology report described a clear renal cell carcinoma (RCC) pT1b GII R0. Conclusion: Robot-assisted PN for RCC for large and centrally located real masses can be done by minimally invasive intervention. It is a challenging but safe and feasible option in carefully selected patients. |
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