Hand-assisted laparoscopic radical nephrectomy in pregnancy |
| |
Authors: | Zsolt Domján Endre Holman Noémi Bordás Alexander Stephan Dákay Kiarash Bahrehmand István Buzogány |
| |
Affiliation: | 1. Department of Urology, Péterfy Sándor Hospital, Péterfy Sándor Str. 8-20, Budapest, 1074, Hungary 2. Department of Urology, Semmelweis Hospital, Dr. Monszpart L. Str. 1, Kiskunhalas, 6400, Hungary 3. Department of Obstetrics and Gynecology, Péterfy Sándor Hospital, Péterfy Sándor Str. 8-20, Budapest, 1074, Hungary
|
| |
Abstract: | Purpose To demonstrate the beneficial results of hand-assisted laparoscopic tumor nephrectomy in pregnancy and to emphasize the proper timing of such surgery for its crucial importance attempting to avoid fatal cancer-related outcomes as a result of late interventions of aggressive tumors. Methods A report of a 32-year-old woman with a 61 × 41 mm chromophobe renal cell carcinoma (RCC) successfully treated with laparoscopic transperitoneal hand-assisted nephrectomy during the 20th week of gestation is presented. Results The fetus was stable during the intervention; the postoperative period was uneventful; she had a normal vaginal delivery at term and gave birth to a healthy female child. The patient remained tumor-free at her 34-month follow-up. Conclusion Although the pure laparoscopic interventions have become recognized in the treatment of RCC over the last decade, these methods have their limitations and dangers as well. The hand-assistance method makes the procedure faster and safer which is especially important during second or third trimester. Renal biopsy may play a specifically important role in predicting the malignant potential of a renal tumor, whereas postponement of this surgery until after delivery, may lead to the mother’s death. To our knowledge, this is the first report on hand-assisted laparoscopic nephrectomy in pregnancy. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|