O'Connor Luke P, Lebastchi Amir H, Brems Jacob, Wang Alex Z, Linehan W Marston, Ball Mark W
Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Urol Case Rep. 2020 Feb 21;30:101135. doi: 10.1016/j.eucr.2020.101135. eCollection 2020 May.
Repeat renal surgery is technically demanding with a high morbidity rate. We describe a novel surgical approach, a salvage robotic transmesenteric off-clamp partial nephrectomy for the management of a renal cell carcinoma in a patient with a history of VHL and multiple prior renal surgeries on the affected kidney. Upon pathological review, the specimen was diagnosed as clear cell RCC, Fuhrman Grade 3, with negative surgical margins. The patient suffered no post-operative complications and had a rapid convalescence. This approach is a feasible and safe alternative in select patients with a significant history of renal surgeries and favorable anatomy.
再次肾脏手术技术要求高且发病率高。我们描述了一种新颖的手术方法，即挽救性机器人经肠系膜无阻断部分肾切除术，用于治疗一名有VHL病史且患侧肾脏曾多次接受肾脏手术的肾细胞癌患者。经病理检查，标本被诊断为透明细胞肾细胞癌，Fuhrman 3级，手术切缘阴性。患者术后未出现并发症，恢复迅速。对于有大量肾脏手术史且解剖结构有利的特定患者，这种方法是一种可行且安全的替代方案。
