University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, Viet Nam.
Cho Ray Hospital, Ho Chi Minh City, Viet Nam.
J Med Case Rep. 2024 May 28;18(1):262. doi: 10.1186/s13256-024-04582-4.
The duplex kidney is one of the common congenital anomalies of the kidney and urinary tract. We present two cases of renal tumor accompanied with ipsilateral duplex kidney. The image of the tumor, renal artery system and collecting system were rendered by AI software (Fujifilm's Synapse AI Platform) to support the diagnosis and surgical planning.
Two Vietnamese patients (a 45-year-old man and a 54-year-old woman) with incidental cT1 renal cell carcinoma (RCC) were confirmed to have ipsilateral duplex kidneys by 3D reconstruction AI technique. One patient had a Renal score 9ah tumor of left kidney while the other had a Renal score 9 × tumor of right kidney in which a preoperative CT scan failed to identify a diagnosis of duplex kidney. Using the Da Vinci platform, we successfully performed robotic partial nephrectomy without any damage to the collecting system in both cases.
RCC with duplex kidneys is a rare condition. By utilizing a novel AI reconstruction technique with adequate information, two patients with RCC in duplex kidneys were successfully performed robotic partial nephrectomy without complication.
重复肾是肾脏和泌尿道常见的先天性异常之一。我们报告两例伴同侧重复肾的肾肿瘤病例。肿瘤的图像、肾动脉系统和集合系统由 AI 软件（富士胶片的 Synapse AI 平台）渲染，以支持诊断和手术计划。
两名越南患者（一名 45 岁男性和一名 54 岁女性）偶然发现 cT1 肾细胞癌（RCC），通过 3D 重建 AI 技术证实为同侧重复肾。一名患者左肾有一个 Renal score 9ah 肿瘤，另一名患者右肾有一个 Renal score 9×肿瘤，术前 CT 扫描未能诊断出重复肾。使用达芬奇平台，我们成功地对这两例患者进行了机器人辅助部分肾切除术，而不损伤集合系统。
RCC 伴重复肾是一种罕见的情况。通过利用具有充分信息的新型 AI 重建技术，成功地对两例重复肾的 RCC 患者进行了机器人辅助部分肾切除术，无并发症。
