Abstract
Introduction and Objective:
We demonstrate a robot-assisted laparoscopic partial nephrectomy in a transplant kidney for renal-cell carcinoma.
Methods:
A 60-year-old male who underwent renal transplantation in 2007 presented to the emergency department in February 2015 for back pain. A renal ultrasonography in the emergency department displayed a 1.6 cm echogenic lesion in the inferior pole of the transplant kidney. A contrast CT scan revealed a mildly enhancing mass in the medial aspect of the transplant kidney. A biopsy was performed that demonstrated grade 3 clear cell renal-cell carcinoma. Subsequently, a robot-assisted laparoscopic partial nephrectomy of the transplant kidney was scheduled. The surgical procedure, including hilar dissection, mass excision, and renal reconstruction, was performed with robotic assistance. 1,2
Results:
The operative length was 217 minutes. Warm ischemia time was 15 minutes. Estimated blood loss was 50 mL. There were no operative or perioperative complications. Pathology analysis revealed a grade 4 of four renal-cell translocation carcinoma with negative margins. The patient was discharged home on postoperative day 2 with stable renal function.
Conclusions:
Robot-assisted laparoscopic partial nephrectomy is a safe and useful procedure for surgical treatment for renal masses in renal transplant patients.
No competing financial interests exist.
Runtime of video: 9 mins 48 secs
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