Challenging laparoscopic radical nephrectomy in pregnancy.

Area of Science:

• Oncology
• Obstetrics
• Surgical Innovation

Background:

• Renal cell carcinoma (RCC) during pregnancy is exceptionally rare.
• It poses significant challenges in balancing maternal cancer treatment with fetal well-being.
• Clinical decisions require careful consideration of oncological urgency versus obstetric risks.

Purpose of the Study:

• To present a successful management strategy for a pregnant patient with clear cell renal cell carcinoma.
• To highlight the feasibility and safety of surgical intervention during pregnancy.
• To emphasize the importance of a multidisciplinary approach in complex cases.

Main Methods:

• Case report of a pregnant patient with an incidentally detected large clear cell RCC.
• Surgical management involved laparoscopic radical nephrectomy.
• Intervention was performed during the second trimester of pregnancy.

Main Results:

• Successful surgical removal of the renal cell carcinoma.
• Favorable oncological and fetal outcomes were achieved.
• The patient and fetus tolerated the procedure well.

Conclusions:

• Laparoscopic radical nephrectomy is a viable and safe option for managing renal cell carcinoma in pregnant patients.
• Multidisciplinary collaboration is crucial for optimizing outcomes.
• Tailored surgical planning is essential for achieving success in these unique cases.