Retroperitoneoscopical Partial Nephrectomy of Bilateral Renal Masses in One Session
Danfeng Xu, MD, Xin Xie, MD, Wenbin Rui, MD, Chenghe Wang, MD, Juping Zhao, MD, PhD
Shanghai JiaoTang University School of Medicine, Ruijin Hospital, Department of Urology, Shanghai, China, 200025.
Introduction: Occurrence of synchronous bilateral sporadic renal masses is rare. Retroperitoneoscopical partial nephrectomy of bilateral renal masses in one session can be a technically challenging procedure due to ischemia time, paranchyma preserved and perioperative complications.
Case Description: We present a case where bilateral renal masses were synchronously excised via retroperitoneoscopy in a 53-year-old woman. There were five masses excised in all and pathology revealed chromophobe renal cell carcinoma with histologic concordance. No recurrence or metastasis was detected after 2 years of follow-up and renal function was optimal with glomerular filtration rate (GFR) 76.3 ml/min/1.73 m2, compared to the preoperative GFR of 77.5 ml/min/1.73 m2.
Conclusion: Retroperitoneoscopical partial nephrectomy is a feasible and effective procedure for bilateral renal masses in one session under experienced hands.
Key Words: Retroperitoneoscopy, Partial nephrectomy, Bilateral renal masses, Synchronous.