Nakahara M
Urological Division, Chibatokushuukai Hospital.
Nihon Hinyokika Gakkai Zasshi. 1992 Apr;83(4):546-9. doi: 10.5980/jpnjurol1989.83.546.
We experienced two cases of renal cell carcinoma with renal artery aneurysm in the contralateral kidney. These cases have not been reported in the literatures which we have so far explored. In our cases, firstly tumor was resected, and then extracorporeal surgery and autotransplantation were performed on the renal artery aneurysm of the opposite side. Their postoperative courses were uneventful. Only a few instances of extracorporeal surgery and autotransplantation for renal artery aneurysm in a solitary kidney have been reported in the literature. However, no report of a case treated by extracorporeal surgery and autotransplantation for renal artery aneurysm in the contralateral kidney after surgical treatment of renal cell carcinoma has been made. Regarding the treatment of renal artery aneurysm, extracorporeal surgery and autotransplantation appeared satisfactory in our experience. It was a safe and assured surgical procedure. We recommend extracorporeal surgery and autotransplantation for renal artery aneurysm when management in situ is considered difficult.
我们遇到了两例对侧肾伴有肾动脉动脉瘤的肾细胞癌患者。在我们目前查阅的文献中尚未有此类病例的报道。在我们的病例中，首先切除肿瘤，然后对侧肾动脉动脉瘤进行体外手术及自体肾移植。术后恢复顺利。文献中仅报道过少数几例针对孤立肾肾动脉动脉瘤的体外手术及自体肾移植病例。然而，尚无肾细胞癌手术治疗后对侧肾动脉动脉瘤采用体外手术及自体肾移植治疗的病例报告。就肾动脉动脉瘤的治疗而言，根据我们的经验，体外手术及自体肾移植效果令人满意。这是一种安全可靠的手术方式。当认为原位处理困难时，我们建议对肾动脉动脉瘤采用体外手术及自体肾移植治疗。
