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Organo Oficial de la Sociedad Mexicana de Urología

2022, Number 5

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Rev Mex Urol 2022; 82 (5)

Minimaly invasive cavotomy for metastasectomy in renal carcinoma recurrence

Corona-Montes VE, Tena-González-Méndez G, Jiménez-Cisneros E, García-Escobar JC, Rodríguez González-Cobián JM

Language: Spanish
References: 14
Page:
PDF size: 631.62 Kb.


ABSTRACT

We report the case of a 65 year-old man who attended his evaluation and follow-up for clear cell renal carcinoma, postoperative laparoscopic right radical nephrectomy pT3N0M0 in 2017. In his quarterly oncological follow-up, he attended with his control by abdominal-pelvic tomography in which local subhepatic recurrence was observed and an adrenal gland plus an occupying mass in the abdominal vena cava subdiaphragmatic level II of the Neves-Sincke classification, for which a laparoscopic metastasectomy with trombectomy was protocolized. With a preoperative hemoglobin of 17 ng/dl, and a creatinine of 1.75 ng/dl, blood glucose 11 ng/dl, the rest of the studies normal as well as a normal general urine test. The intervention course without intraoperative complications, bleeding calculated of 1400 ml which required a transfusion of 1 unit red blood cell, being discharged at 72 hours. The histopatologic result clear cell carcinoma Furhman 2 with thombous.


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