Salazar Luis C, Suarez Anzorena Agustina M, Suarez Anzorena Francisco J
Interventional Radiology, Universidad de Buenos Aires, Ciudad Autonoma de Buenos Aires, ARG.
Cureus. 2025 Jan 1;17(1):e76764. doi: 10.7759/cureus.76764. eCollection 2025 Jan.
This report presents the case of a patient diagnosed with stage I renal cell carcinoma (RCC), who was treated with a laparoscopic partial nephrectomy and, subsequently, percutaneous transarterial embolization (PTAE) due to a renal pseudoaneurysm secondary to partial nephrectomy. A laparoscopic partial nephrectomy was performed, sparing the healthy renal tissue. Four days after surgery, the patient's hematocrit count decreased by 8 points, and macroscopic hematuria was noted. PTAE of a renal pseudoaneurysm was indicated due to refractory bleeding. Adequate bleeding control and preservation of the renal parenchyma were achieved. Progress in early diagnosis of malignancy has resulted in the detection of more than 60% of RCCs at stage T1. In this scenario, new surgical techniques, which spare the renal parenchyma, have become the recommended therapeutic option in patients with early renal tumors. Likewise, dealing with complications arising from these new surgical techniques should also focus on maintaining kidney tissue integrity. We highlight the growing trend to implement minimally invasive therapies in patient care while pointing out the scarcity of studies contrasting immediate imaging results and clinically significant outcomes.
本报告介绍了一例被诊断为I期肾细胞癌（RCC）的患者，该患者接受了腹腔镜下部分肾切除术，随后因部分肾切除术后继发肾假性动脉瘤而接受了经皮经动脉栓塞术（PTAE）。进行了腹腔镜下部分肾切除术，保留了健康的肾组织。术后四天，患者的血细胞比容计数下降了8个百分点，并出现肉眼血尿。由于出血难以控制，遂对肾假性动脉瘤进行了PTAE。实现了充分的出血控制并保留了肾实质。恶性肿瘤早期诊断的进展使得超过60%的RCC在T1期被检测到。在这种情况下，保留肾实质的新手术技术已成为早期肾肿瘤患者推荐的治疗选择。同样，处理这些新手术技术引起的并发症也应侧重于维持肾组织的完整性。我们强调了在患者护理中实施微创治疗的趋势日益增长，同时指出对比即时成像结果和临床显著结果的研究稀缺。
