Bilateral Single-Stage Nephrectomy for Synchronous Bilateral Renal Cell Carcinoma

Area of Science:

• Urology
• Oncology
• Surgical Innovation

Background:

• Bilateral synchronous renal cell carcinoma (RCC) is a rare clinical presentation.
• Management strategies, including single-stage versus staged surgical approaches, remain debated among urologists.
• Optimal surgical techniques for bilateral RCC require further investigation to ensure patient safety and oncological outcomes.

Purpose of the Study:

• To evaluate the safety and efficacy of single-stage bilateral renal surgery for synchronous renal cell carcinoma (RCC).
• To assess the feasibility of bilateral transverse lateral lumbotomy as a surgical approach for managing bilateral RCC.
• To report on intraoperative and postoperative outcomes, including complications and renal function.

Main Methods:

• Retrospective analysis of pathologically confirmed cases of bilateral synchronous RCC undergoing single-stage bilateral renal surgery.
• Surgical management was performed using bilateral transverse lateral lumbotomy.
• Data collected included intraoperative findings, postoperative complications, and changes in renal function.

Main Results:

• Three cases of bilateral synchronous RCC were identified and managed with single-stage bilateral renal surgery.
• The bilateral transverse lateral lumbotomy approach facilitated a swift and safe surgical procedure.
• No intraoperative or postoperative complications were observed, and kidney function remained stable post-surgery.

Conclusions:

• Single-stage bilateral renal surgery is a safe and viable option for managing bilateral synchronous renal cell carcinoma (RCC).
• Bilateral transverse lateral lumbotomy is an effective surgical technique for this condition, offering speed, safety, and minimal complications.
• Potential histological discordance between bilateral synchronous RCC tumors warrants consideration.