Robotic-assisted laparoscopic partial nephrectomy for renal cell carcinoma in horseshoe kidney: a hybrid technique with
- PDF / 1,330,190 Bytes
- 4 Pages / 595.276 x 790.866 pts Page_size
- 93 Downloads / 203 Views
CASE REPORT
Robotic‑assisted laparoscopic partial nephrectomy for renal cell carcinoma in horseshoe kidney: a hybrid technique with conventional laparoscopic surgery Kazuyuki Numakura1 · Yumina Muto1 · Ryohei Yamamoto1 · Atsushi Koizumi1 · Taketoshi Nara1 · Sohei Kanda1 · Mitsuru Saito1 · Shintaro Narita1 · Takamitsu Inoue1 · Tomonori Habuchi1 Received: 5 May 2020 / Accepted: 16 May 2020 © The Japan Society of Clinical Oncology 2020
Abstract Robotic-assisted laparoscopic partial nephrectomies (RAPN) have come up to standard treatment for small renal tumors, with a growing indication to accomplish this procedure. Although a horseshoe kidney is one of the most common congenital renal fusion anomalies, surgical planning for tumors is considered difficult because of its poor mobility and abnormal vascular supply. We showed our experience of RAPN in combination with conventional laparoscopic kidney mobilization and dissection for a patient with renal cell carcinoma in a horseshoe kidney. The patient was an otherwise healthy 66-year-old man with 26 mm right renal mass on the lower pole of the horseshoe kidney. Robotic assistance allows for proper tissue dissection, easy to aware unconfirmed vasculatures, and meticulous fine suturing and would overcome the potential challenges involved in the minimally invasive management of such complex anomalies as shown in the patient. Keywords Robotic partial nephrectomy · Renal cell carcinoma · Hybrid technique · Horseshoe kidney
Introduction Horseshoe kidney is a relatively common renal fusion anomaly [1]. Because of meager mobility of the kidney and its multiple arterial blood supplies, minimally invasive surgery for renal tumors in this anomaly can be challenging [2]. We describe a case of a right-side lower-pole renal cell carcinoma in a horseshoe kidney managed by a hybrid technique, which was dissected kidney and secured arteries by conventional laparoscopy and resected tumor and sutured parenchyma by robot platform. Robot-assisted laparoscopic surgery would allow for fine and careful dissection by the three-dimensional view and joint function; however, a limited range of motion of the robotic arm is one of concern. Conventional laparoscopic could enable us to change the camera and working port each other easily and flexibly and Kazuyuki Numakura and Yumina Muto contributed equally to this work. * Tomonori Habuchi [email protected]‑u.ac.jp 1
Department of Urology, Akita University Graduate School of Medicine, 1‑1‑1 Hondo, Akita 010‑8543, Japan
can compensate for this weakness of the robot. Fusionrelated limited mobility during the procedure, as well as variable blood supply, requires careful planning. We showed our experience of robotic-assisted laparoscopic partial nephrectomy (RAPN) in combination with conventional laparoscopy for a patient with renal cell carcinoma in a horseshoe kidney.
Case report A 66-year-old male was referred to our hospital with right incidental renal mass. A CT scan revealed 26 mm renal mass (cT1aN0M0) in the posterior of the right l
Data Loading...
