[Enucleation of renal cell carcinoma in von Hippel-Lindau disease using a microwave tissue coagulator].
The patient was a 37-year-old man who had undergone left nephrectomy under the diagnosis of left renal cell carcinoma associated with von Hippel-Lindau (VHL) disease 4 years ago. Computed tomography (CT) revealed 3 individual tumors 20 mm, 13 mm and 9 mm in maximum diameter in the right kidney. All three renal tumors were enucleated with a microwave tissue coagulator (MTC) without renal pedicle clamping. There were no major complications related to nephron-sparing surgery such as postoperative bleeding, persistent urine leakage and deterioration of renal function. Our findings suggest that renal tumors with VHL disease can be enucleated using a MTC safely and successfully without damaging renal function.
Igarashi
Tomohiro
T
Department of Urology, Nihon University School of Medicine.
Sakuma
Takahiro
T
Yagasaki
Hiroki
H
Igarashi
Takumi
T
Sugimoto
Shuji
S
Hirakata
Hitoshi
H
Kawata
Nozomu
N
Takimoto
Yukie
Y
D000328:Adult; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D004564:Electrocoagulation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008872:Microwaves / Q000627:therapeutic use*; D016609:Neoplasms, Second Primary / Q000601:surgery*; D016896:Treatment Outcome; D006623:von Hippel-Lindau Disease / Q000150:complications*