Korean J Urol.  2015 Oct;56(10):729-732. 10.4111/kju.2015.56.10.729.

Robot-assisted heminephrectomy for chromophobe renal cell carcinoma in L-shaped fused crossed ectopia: Surgical challenge

• Kumar S
• Singh S
• Jain S
• Bora GS
• Singh SK

• KMID: 2344117
• DOI: http://doi.org/10.4111/kju.2015.56.10.729

Abstract

Renal cell carcinoma associated with fused ectopic kidneys has rarely been reported in the literature. Here we report the first case of robot-assisted heminephrectomy for chromophobe renal cell carcinoma in an L-shaped fused ectopic kidney. The present case report highlights the importance of three-dimensional vision and enhanced maneuverability with the EndoWrist technology of the robotic surgical system for precise dissection. This report also highlights the importance of preoperative contrast-enhanced computed tomography with three-dimensional arterial reconstruction for surgical planning.

Keyword

Nephrectomy; Renal cell carcinoma; Robotics

MeSH Terms

Carcinoma, Renal Cell/radiography/*surgery
Female
Humans
Kidney/*abnormalities/radiography
Kidney Neoplasms/radiography/*surgery
Middle Aged
Nephrectomy/*methods
Robotic Surgical Procedures/*methods
Tomography, X-Ray Computed

Reference

1. Shapiro E, Bauer SB, Chow JS. Anomalies of the upper urinary tract. In : Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia: Saunders;2012. p. 3140–3145.

2. Stanley KE, Winfield HN, Donovan JF, Fallon B. Laparoscopic nephrectomy in crossed fused renal ectopia. Urology. 1993; 42:375–378.

3. Felzenberg J, Nasrallah PF. Crossed renal ectopia without fusion associated with hydronephrosis in an infant. Urology. 1991; 38:450–452.

4. Romero FR, Chan DY, Muntener M, Bagga HS, Brito FA, Kavoussi LR. Laparoscopic heminephrectomy for renal cell carcinoma in cross-fused ectopic kidney. Urology. 2007; 69:779.e11–779.e13.

5. Stimac G, Dimanovski J, Ruzic B, Spajic B, Kraus O. Tumors in kidney fusion anomalies--report of five cases and review of the literature. Scand J Urol Nephrol. 2004; 38:485–489.

6. Gur U, Yossepowitch O, Baniel J. Transitional cell carcinoma in a fused crossed ectopic kidney. Urology. 2003; 62:748.