Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case report

Detalhes bibliográficos
Autor(a) principal: Cruz, Antonio Cesar
Data de Publicação: 2019
Outros Autores: Lima, Guilherme, Litvin, Isabella Pinheiro, M. A. Costa, Paulo Eugênio
Tipo de documento: Artigo
Idioma: por
Título da fonte: Anais da Faculdade de Medicina de Olinda (Online)
Texto Completo: https://afmo.emnuvens.com.br/afmo/article/view/68
Resumo: Introduction: For T2 tumors, most authors suggest radical nephrectomy, however, nephrectomy reports for T2b tumors in patients with solitary kidney are lacking in the literature. Case report: RJAL, male, 32 years old, with a tumor in the left kidney measuring 12 cm and right renal agenesis. In the preoperative period he had normal renal function. He underwent laparoscopic partial nephrectomy in June 2016. The patient progressed with elevated serum creatinine and anuric, and then was started a renal replacement therapy with hemodialysis. After 20 days, because normalization of renal function was present, were decided to discontinue hemodialysis. The pathology revealed to be renal cell carcinoma. At the moment the patient is outside of hemodialysis and CT scan showing kidney with no evidence of tumor recurrence. Comments: Laparoscopic partial nephrectomy for stage T2b renal tumors is possible and may be indicated in selected cases, such as renal agenesis, with an effective oncologic result and maintenance of renal function.
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spelling Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case reportNefrectomia parcial laparoscópica para tumor T2b em paciente com rim único: relato de casoCarcinoma de células renais. Rim único. Nefrectomia.Renal cell carcinoma. Solitary kidney. Nephrectomy.Introduction: For T2 tumors, most authors suggest radical nephrectomy, however, nephrectomy reports for T2b tumors in patients with solitary kidney are lacking in the literature. Case report: RJAL, male, 32 years old, with a tumor in the left kidney measuring 12 cm and right renal agenesis. In the preoperative period he had normal renal function. He underwent laparoscopic partial nephrectomy in June 2016. The patient progressed with elevated serum creatinine and anuric, and then was started a renal replacement therapy with hemodialysis. After 20 days, because normalization of renal function was present, were decided to discontinue hemodialysis. The pathology revealed to be renal cell carcinoma. At the moment the patient is outside of hemodialysis and CT scan showing kidney with no evidence of tumor recurrence. Comments: Laparoscopic partial nephrectomy for stage T2b renal tumors is possible and may be indicated in selected cases, such as renal agenesis, with an effective oncologic result and maintenance of renal function.Introdução: Para tumores T2, a maioria dos autores sugere a nefrectomia radical, porém, a literatura carece de relatos de nefrectomia para tumores T2b em pacientes com rim único. Relato de caso: RJAL, sexo masculino, 32 anos com tumor em rim esquerdo medindo 12 cm e agenesia renal direita. No pré-operatório apresentava função renal normal. Foi submetido à nefrectomia parcial laparoscópica em junho de 2016. Evoluiu com elevação da creatinina sérica e anúria, sendo então iniciada terapia renal substitutiva com hemodiálise. Após 20 dias, por apresentar normalização da função renal, optouse por suspender a mesma. O anatomopatológico revelou tratar-se de carcinoma de células renais. No momento, o paciente encontra-se fora de hemodiálise e com TC mostrando rim sem evidências de recidiva tumoral. Comentários: A nefrectomia parcial laparoscópica para tumores renais estádio T2b, é factível e pode ser indicada em casos selecionados como agenesia renal, com resultado oncológico eficaz e manutenção da função renal.Faculdade de Medicina de Olinda2019-09-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://afmo.emnuvens.com.br/afmo/article/view/6810.56102/afmo.2019.68Annals of Olinda Medical School; Vol. 1 No. 3 (2019); 42-44Anais da Faculdade de Medicina de Olinda; v. 1 n. 3 (2019); 42-442674-84872595-1734reponame:Anais da Faculdade de Medicina de Olinda (Online)instname:Faculdade de Medicina de Olinda (FMO)instacron:FMOporhttps://afmo.emnuvens.com.br/afmo/article/view/68/59Cruz, Antonio Cesar Lima, Guilherme Litvin, Isabella Pinheiro M. A. Costa, Paulo Eugênio info:eu-repo/semantics/openAccess2023-07-04T18:10:50Zoai:ojs.afmo.emnuvens.com.br:article/68Revistahttps://afmo.emnuvens.com.br/afmoPUBhttps://afmo.emnuvens.com.br/afmo/oaianaisfmo@fmo.edu.br2674-84872595-1734opendoar:2023-07-04T18:10:50Anais da Faculdade de Medicina de Olinda (Online) - Faculdade de Medicina de Olinda (FMO)false
dc.title.none.fl_str_mv Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case report
Nefrectomia parcial laparoscópica para tumor T2b em paciente com rim único: relato de caso
title Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case report
spellingShingle Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case report
Cruz, Antonio Cesar
Carcinoma de células renais. Rim único. Nefrectomia.
Renal cell carcinoma. Solitary kidney. Nephrectomy.
title_short Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case report
title_full Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case report
title_fullStr Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case report
title_full_unstemmed Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case report
title_sort Partial laparoscopic nephrectomy for T2b tumor in patients with the solitary kidney: case report
author Cruz, Antonio Cesar
author_facet Cruz, Antonio Cesar
Lima, Guilherme
Litvin, Isabella Pinheiro
M. A. Costa, Paulo Eugênio
author_role author
author2 Lima, Guilherme
Litvin, Isabella Pinheiro
M. A. Costa, Paulo Eugênio
author2_role author
author
author
dc.contributor.author.fl_str_mv Cruz, Antonio Cesar
Lima, Guilherme
Litvin, Isabella Pinheiro
M. A. Costa, Paulo Eugênio
dc.subject.por.fl_str_mv Carcinoma de células renais. Rim único. Nefrectomia.
Renal cell carcinoma. Solitary kidney. Nephrectomy.
topic Carcinoma de células renais. Rim único. Nefrectomia.
Renal cell carcinoma. Solitary kidney. Nephrectomy.
description Introduction: For T2 tumors, most authors suggest radical nephrectomy, however, nephrectomy reports for T2b tumors in patients with solitary kidney are lacking in the literature. Case report: RJAL, male, 32 years old, with a tumor in the left kidney measuring 12 cm and right renal agenesis. In the preoperative period he had normal renal function. He underwent laparoscopic partial nephrectomy in June 2016. The patient progressed with elevated serum creatinine and anuric, and then was started a renal replacement therapy with hemodialysis. After 20 days, because normalization of renal function was present, were decided to discontinue hemodialysis. The pathology revealed to be renal cell carcinoma. At the moment the patient is outside of hemodialysis and CT scan showing kidney with no evidence of tumor recurrence. Comments: Laparoscopic partial nephrectomy for stage T2b renal tumors is possible and may be indicated in selected cases, such as renal agenesis, with an effective oncologic result and maintenance of renal function.
publishDate 2019
dc.date.none.fl_str_mv 2019-09-23
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://afmo.emnuvens.com.br/afmo/article/view/68
10.56102/afmo.2019.68
url https://afmo.emnuvens.com.br/afmo/article/view/68
identifier_str_mv 10.56102/afmo.2019.68
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://afmo.emnuvens.com.br/afmo/article/view/68/59
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Faculdade de Medicina de Olinda
publisher.none.fl_str_mv Faculdade de Medicina de Olinda
dc.source.none.fl_str_mv Annals of Olinda Medical School; Vol. 1 No. 3 (2019); 42-44
Anais da Faculdade de Medicina de Olinda; v. 1 n. 3 (2019); 42-44
2674-8487
2595-1734
reponame:Anais da Faculdade de Medicina de Olinda (Online)
instname:Faculdade de Medicina de Olinda (FMO)
instacron:FMO
instname_str Faculdade de Medicina de Olinda (FMO)
instacron_str FMO
institution FMO
reponame_str Anais da Faculdade de Medicina de Olinda (Online)
collection Anais da Faculdade de Medicina de Olinda (Online)
repository.name.fl_str_mv Anais da Faculdade de Medicina de Olinda (Online) - Faculdade de Medicina de Olinda (FMO)
repository.mail.fl_str_mv anaisfmo@fmo.edu.br
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