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A case of robot-assisted laparoscopic partial nephrectomy during pregnancy
Kenji Tsutsui1, Airi Miki1, Teppei Wakita1
1Department of Urology Osaka General Medical Center Osaka Japan.
IJU Case Reports
|November 6, 2023
Summary
Robot-assisted partial nephrectomy (RAPN) is a safe and effective treatment for renal cell carcinoma (RCC) during pregnancy. This approach ensures positive outcomes for both mother and fetus, with careful consideration of individual patient needs.
Area of Science:
- Oncology
- Urology
- Obstetrics
Background:
- Malignancy in pregnancy presents unique challenges for maternal and fetal well-being.
- Renal cell carcinoma (RCC) is a rare but significant concern during gestation.
Observation:
- A pregnant patient was diagnosed with incidentally discovered cT1aN0M0 renal cell carcinoma via ultrasonography and CT scan.
- Robot-assisted partial nephrectomy (RAPN) was successfully performed during the pregnancy.
Findings:
- Pathologic examination confirmed clear cell RCC.
- The procedure and postoperative recovery were uncomplicated for both mother and baby.
- The infant was delivered safely post-procedure.
Implications:
- RAPN demonstrates safety and efficacy in managing RCC during pregnancy.
- Individualized treatment plans are crucial, considering maternal-fetal status, tumor characteristics, and surgical expertise.
