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Retzius-Sparing Robot-Assisted Radical Prostatectomy

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Published on: May 19, 2022

'Pseudo' pseudoaneurysm following robotic assisted partial nephrectomy.

Eric Schommer¹, Julio Gundian, David D Thiel

¹Department of Urology, Mayo Clinic, Jacksonville, Florida, USA.

The Canadian Journal of Urology

|April 25, 2017

Summary

This summary is machine-generated.

A patient treated for kidney cancer experienced a recurrence two years after robotic partial nephrectomy. Further intervention was needed due to a mass found in the renal hilum, requiring a radical nephrectomy.

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Area of Science:

Urology
Oncology
Interventional Radiology

Background:

A 65-year-old female with a history of clear cell renal cell carcinoma underwent robotic partial nephrectomy.
Initial pathology revealed a 3.4 cm, grade 2/4 tumor with negative margins and no adverse features.

Observation:

Follow-up imaging identified a pseudoaneurysm in the right kidney.
Angiography and MRI revealed a recurrent or residual mass in the renal hilum.

Findings:

The patient required laparoscopic radical nephrectomy for definitive treatment.
Final pathology confirmed recurrent grade 2/4 clear cell renal cell carcinoma involving sinus fat and vessels, with negative margins.

Implications:

This case highlights the importance of vigilant surveillance after partial nephrectomy for renal cell carcinoma.
Complex cases may necessitate multidisciplinary approaches involving urology and interventional radiology.
Recurrence in the renal hilum can occur and requires timely and effective management.