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Updated: Mar 10, 2026
Murine Bilateral Renal Lymphadenectomy
Published on: December 30, 2025
A Case of Bilateral Renal Cancer in a Dialysis Patient With Enlarged ACDK Treated With Staged Laparoscopic
Rintaro Yoshitake1, Shigeyuki Watanabe1, Nanaka Maeda1
1Hikone Municipal Hospital Hikone Shiga Japan.
Introduction:
End-stage renal disease (ESRD) patients have a high risk of Acquired Cystic Disease-associated Renal Cell Carcinoma (ACD-RCC) due to chronic inflammation and cystic renal atrophy. Although laparoscopic radical nephrectomy (LRN) is standard, massively enlarged kidneys may increase surgical difficulty.
Case Presentation:
We describe a long-term dialysis patient with bilateral ACD-RCC. Each kidney weighed over 1200 g. Despite the extreme size and cystic architecture, LRN was completed without conversion, transfusion, or major postoperative complications.
Conclusion:
This case demonstrates that LRN can be safely and effectively performed in ESRD patients even when ACD-RCC involves unusually large kidneys.
