Kotb Ahmed, Alaref Amer, Kisselgoff David, Ismail Asmaa, Rozenberg Radu, Burute Nishigandha, Shahrour Walid, Prowse Owen, Elmanasy Hazem
Urology Department, Thunder Bay Regional Health Science Centre, Northern Ontario School of Medicine, Thunder Bay, ON, Canada.
Radiology Department, Thunder Bay Regional Health Science Centre, Northern Ontario School of Medicine, Thunder Bay, ON, Canada.
J Kidney Cancer VHL. 2021 Jan 25;8(1):7-11. doi: 10.15586/jkcvhl.v8i1.151. eCollection 2021.
Bilateral synchronous renal cell carcinoma (RCC) is uncommonly encountered. Debate exists among urologists in managing these cases in a single surgery versus staged surgeries. We aim to report our experience in managing encountered cases using single-stage surgeries. Retrospective collection of cases with pathologically confirmed RCC that had single-stage bilateral renal surgery over the past 2 years. Three cases were identified. Patients were managed using bilateral transverse lateral lumbotomy. All patients did not have intraoperative or postoperative complications. Kidney function stayed stable after surgery. Single-stage bilateral renal surgery is a safe procedure. Bilateral transverse lateral lumbotomy allows for a fast and safe surgery with minimal complications. There is a possible histological dis-concordance in bilateral synchronous RCC.
双侧同步性肾细胞癌（RCC）较为罕见。泌尿外科医生对于这些病例采用一期手术还是分期手术进行治疗存在争议。我们旨在报告我们使用一期手术治疗所遇病例的经验。回顾性收集过去2年中经病理证实为RCC且接受一期双侧肾脏手术的病例。共确定了3例。患者采用双侧经腰横切口手术。所有患者均未出现术中或术后并发症。术后肾功能保持稳定。一期双侧肾脏手术是一种安全的手术方式。双侧经腰横切口手术可实现快速、安全的手术，并发症最少。双侧同步性RCC可能存在组织学不一致的情况。
