Open partial nephrectomy in solitary kidney with multiple renal cell carcinoma: a case report.
- Author:
Niu JI-RUI
1
;
Mao QUAN-ZONG
;
Ji ZHI-GANG
Author Information
1. Departments of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
- Publication Type:Case Reports
- MeSH:
Carcinoma, Renal Cell;
surgery;
Female;
Humans;
Kidney Neoplasms;
surgery;
Middle Aged;
Neoplasms, Multiple Primary;
surgery;
Nephrectomy;
methods
- From:
Chinese Medical Sciences Journal
2011;26(4):249-250
- CountryChina
- 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.
