Transmesocolic laparoscopic partial nephrectomy for RCC in a horseshoe kidney

Кочкин, А Д; Gallyamov, E. A.; Martov, A G; Sevryukov, F A; Кнутов, А В; Сергеев, В. П.; Новиков, А В

doi:10.1016/s1569-9056(17)31226-5

Cited by 2 publications

(1 citation statement)

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“…остается дискутабельным способ пересечения перешейка почки при лапароскопическом доступе. Пересечение степлером или лигирование перешейка не всегда позволяют адекватно контролировать интраоперационное кровотечение и добиться надежного окончательного гемостаза [7]. В нашем случае для пересечения перешейка мы использовали лапароскопический зажим Симона, а окончательный гемостаз был достигнут за счет монополярной коагуляции и гемостатических викриловых швов.…”

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Laparoscopic Heminephrectomy of a Horseshoe Kidney With Advanced Renal-Cell Carcinoma. Description of a Single Case

Прохоров¹,

Bogomolov²,

Школьник³

et al. 2018

Problems in oncology

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A 64-year-old woman with a 9-cm advanced tumor in the left moiety of a horseshoe kidney was treated through a laparoscopic approach. The left part of kidney had 3 arteries (2 from aorta, 1 from left common iliac artery) and 5 veins. A pre-operative kidney computed tomography angiography revealed the invasion in lumbar and iliac muscles. Clamping of blood vessels was performed and isthmus was dissected with bipolar hook and Simon Renal Pole Clamp®. Renal parenchyma sutured with Vicryl 2-0 filament. Removal of locally advanced tumor was performed with 10-mm Ligasure®. Laparoscopic heminephrectomy are safe and efficient treatment method of horseshoe kidney tumors in case of proper approach according to the location of the lesion and the surgeon>s experience.

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Section: Discussionunclassified

Laparoscopic Heminephrectomy of a Horseshoe Kidney With Advanced Renal-Cell Carcinoma. Description of a Single Case

Прохоров¹,

Bogomolov²,

Школьник³

et al. 2018

Problems in oncology

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Radical cystectomy in bladder cancer: complications, prognosis, history of the method

2021

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The article is a review of domestic and foreign literature sources covering the development of complications and long-term prognoses during radical cystectomy, as well as the history of the development of the method. The gold standard for the treatment of muscle invasive bladder cancer (MIBC) is radical cystectomy with bilateral pelvic lymph node dissection. The high incidence of intra- and postoperative complications, as well as a large number of repeat visits (up to 25 %) in the first 30 days after open radical cystectomy necessitates a search and implementation of new methods of surgical treatment, one of which is robotic-assisted radical cystectomy (RARC). The robotic method reduces the need for intra- and postoperative blood transfusion, but does not significantly improve the patient’s quality of life compared to open surgery. The main disadvantage of the RARС is the long operation time. Urinary drainage is a necessary component of radical cystectomy. The most modern methods of derivation are «dry» stoma placement and orthotopic bladder surgery with urination along the native urethra. However, the choice of urinary drainage must be made based on a number of factors, including the patient’s comorbidities, surgical feasibility, postoperative care capacity, and patient preference.

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Transmesocolic laparoscopic partial nephrectomy for RCC in a horseshoe kidney

Cited by 2 publications

References 0 publications

Laparoscopic Heminephrectomy of a Horseshoe Kidney With Advanced Renal-Cell Carcinoma. Description of a Single Case

Laparoscopic Heminephrectomy of a Horseshoe Kidney With Advanced Renal-Cell Carcinoma. Description of a Single Case

Radical cystectomy in bladder cancer: complications, prognosis, history of the method

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