Video-Assisted Minilaparotomy Surgery (VAMS): Challenging Cases of Nephron-Sparing Surgery in a Solitary Kidney
구교철, 한웅규, 양승철,
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구교철 ( Koo Kyo-Chul )
연세대학교 의과대학 비뇨기과학교실
한웅규 ( Han Woong-Kyu )
연세대학교 의과대학 비뇨기과학교실
양승철 ( Yang Seung-Choul )
연세대학교 의과대학 비뇨기과학교실
KMID : 0358320090500030288
Abstract
Although radical nephrectomy is the mainstay in the surgical management of renal cell carcinoma (RCC), a solitary kidney with RCC is an imperative indication for nephron-sparing surgery (NSS). In this rare setting, radical nephrectomy can potentially render the patient anephric, leading to dialysis or renal transplantation. Although open surgery is still the gold standard for NSS, there has been an upsurge in the number of minimally invasive NSS procedures that have demonstrated excellent long-term oncologic, surgical, and functional outcomes. Complex renal tumors in the setting of a solitary kidney add an additional challenge to minimally invasive NSS. Here we describe 3 complex cases of RCC in a solitary kidney treated successfully by video-assisted minilaparotomy surgery-NSS.
키워드
Laparotomy;Nephrectomy;Renal cell carcinoma
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