gms | German Medical Science

45. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie und der Bayerischen Urologenvereinigung

09.05. - 11.5.2019, Wien, Österreich

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Robot-assisted partial nephrectomy for renal cell carcinoma of a horseshoe kidney – a case report

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Claudia Wayand - Krankenhaus der Barmherzigen Brüder Wien, Urologie
  • Michael Lamche - Krankenhaus der Barmherzigen Brüder Wien, Urologie
  • Reinhard Böhm - Krankenhaus der Barmherzigen Brüder Wien, Urologie
  • Sebastian Lenart - Krankenhaus der Barmherzigen Brüder Wien, Urologie
  • Anton Ponholzer - Krankenhaus der Barmherzigen Brüder Wien, Urologie

Österreichische Gesellschaft für Urologie und Andrologie. Bayerische Urologenvereinigung. 45. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie und der Bayerischen Urologenvereinigung. Wien, 09.-11.05.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. Doc19oegu109

doi: 10.3205/19oegu109, urn:nbn:de:0183-19oegu1090

Veröffentlicht: 8. April 2019

© 2019 Wayand et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

We present the case of a nephrectomy of a renal cell carcinoma of 2.7 cm in diameter, located on a horseshoe kidney, next to a 5.5 cm cyst in a 81-year-old male patient.

There are a handful of laparoscopic heminephrectomies in horseshoe kidneys to be found in the literature. However, to our knowledge, this is the first reported case of a robot-assisted partial nephrectomy in a horseshoe kidney. The partial nephrectomy was performed using warm ischemia (lasting 22 minutes), firefly and intracorporeal ultrasound.

For the procedure the patient was put in Trendelenburg position. The access was transperitoneal. The final histological result showed ccRcc, pT1a, G2, R0. The patient did not receive any blood transfusions and the drainage was removed the 2nd day postoperatively. The patient was discharged from the hospital on the 5th day postoperatively.

The first two follow-up computer tomographoic (CT) scans showed no sign of relapse.

This report illustrates the importance of detailed pre-preocedural preparation by performing contrast-enhanced CT scan with three-dimensional arterial reconstruction.

Keywords: partial nephrectomy, renal cell carcinoma, horseshoe kidney, DaVinci