[Bilateral laparoscopic nephrectomy for renal cancer].
OBJECTIVE
To report the case of a patient with a bilateral synchronic renal tumor who underwent a laparoscopic surgical approach.


METHODS
57-year-old caucasian male with history of end stage renal disease and secondary hypertension, type II diabetes Mellitus, proteinuria of 2.83 g/24 hours, chronic smoker, and allergic to iodinated contrast who underwent right nephrectomy and simultaneous left laparoscopic transperitoneal nephroureterectomy for a bilateral renal tumor.


RESULTS
Operative time was 4 hours; NG tube was inserted; estimated blood loss was 200 ml and no transfusions were required. Oral intake was re-established after two days. No intraoperative complications occurred; metabolic acidosis appearing in the intermediate postoperative period was corrected with intravenous sodium bicarbonate. Hospital stay was 9 days.


CONCLUSIONS
Bilateral laparoscopic nephrectomy is an effective therapeutic option in the management of patients with bilateral malignant renal diseases, which ensures surgical radicality, and diminishes morbidity, hospital stay and recovery time.
Rojas
David
D
Servicio de Urología, Fundació Puigvert, Barcelona, España.
Rosales
Antonio
A
Palou
Juan
J
Pascual
Xavier
X
Salvador
José
J
Villavicencio
Humberto
H
D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*