Chinese Medical Sciences Journal 2011;26(4):249-250

Open partial nephrectomy in solitary kidney with multiple renal cell carcinoma: a case report.

Niu JI-RUI 1 ; Mao QUAN-ZONG ; Ji ZHI-GANG

Affiliations

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Country

China

Language

English

Abstract

Renal cell carcinoma (RCC) in a solitary kidney presents a unique clinical challenge to urological surgeons. Partial nephrectomy (PN) or nephron-sparing surgery in this condition provides good oncological and renal functional outcomes with an acceptable complication rate. Long-term renal function remains stable in most patients with solitary kidneys after a reduction of more than 50% in renal mass.PN is a surgical procedure reserved for patients with a tumor in a solitary kidney, bilateral renal tumors, or renal function impairment. The challenge of preserving renal parenchyma is significantly complicated with the discovery of multiple masses in a solitary kidney because any subsequent complications may result in a significant decline in quality of life. Particularly in the case of postoperative renal failure, dialysis becomes necessary.