[Bilateral laparoscopic nephrectomy for renal cancer]
David Rojas1, Antonio Rosales, Juan Palou
1Servicio de Urología, Fundació Puigvert, Barcelona, España.
Objectives:
To report the case of a patient with a bilateral synchronic renal tumor who underwent a laparoscopic surgical approach.
Methods:
57-year-old caucasian male with history of end stage renal disease and secondary hypertension, type II diabetes Mellitus, proteinuria of 2.83 g/24 hours, chronic smoker, and allergic to iodinated contrast who underwent right nephrectomy and simultaneous left laparoscopic transperitoneal nephroureterectomy for a bilateral renal tumor.
Results:
Operative time was 4 hours; NG tube was inserted; estimated blood loss was 200 ml and no transfusions were required. Oral intake was re-established after two days. No intraoperative complications occurred; metabolic acidosis appearing in the intermediate postoperative period was corrected with intravenous sodium bicarbonate. Hospital stay was 9 days.
Conclusions:
Bilateral laparoscopic nephrectomy is an effective therapeutic option in the management of patients with bilateral malignant renal diseases, which ensures surgical radicality, and diminishes morbidity, hospital stay and recovery time.
