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Laparoscopic partial nephrectomy with prior superselective embolisation as treatment for giant renal angiomyolipoma
A Husillos Alonso1, D Subirá Ríos2, E Bolufer Moragues1
1Servicio de Urología, Hospital Universitario Infanta Elena/Hospital Universitario Fundación Jiménez Díaz, Madrid, España.
Objective:
Cases of giant renal angiomyolipoma (>9cm) are a therapeutic challenge due to their low frequency and large size. The treatment objective for patients with renal angiomyolipoma should be complete tumour extirpation, with a nephron-sparing surgical technique, without complications and using a minimally invasive approach.
Material And Methods:
We present 3 cases of giant angiomyolipoma (10 12 and 14cm) treated with a combined approach: superselective embolisation and subsequent laparoscopic partial nephrectomy, in 3 separate hospitals.
Results:
None of the cases required conversion to open surgery. One of the 3 patients underwent arterial clamping, and none of the patients had complications.
Conclusions:
The combined approach provides a procedure with the criteria of minimal invasiveness, nephron sparing, little bleeding and reduced warm ischaemia time.
