Laparoscopic nephrectomy, ex vivo partial nephrectomy followed by allograft renal transplantation.
A shortage of available kidneys exists. Forty percent of patients with end stage renal disease wait more than 2 years for renal transplant. We report a case of a 22-year-old man who underwent laparoscopic radical nephrectomy for a 2-cm central renal mass. Ex vivo partial nephrectomy and renorraphy were performed. The reconstructed kidney was allotransplanted to a 62-year-old man with end stage renal disease. The recipient has excellent graft function. Imaging shows no evidence of recurrence or metastasis at 2 years' follow-up. Incidence and management of de novo renal cell carcinoma in renal allografts are reviewed.
Whitson
Jared M
JM
Department of Urology, University of California, San Francisco, San Francisco, California 94143, USA. jwhitson@urology.ucsf.edu
Stackhouse
G Bennett
GB
Freise
Chris E
CE
Meng
Maxwell V
MV
Stoller
Marshall L
ML
D000328:Adult; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery; D016030:Kidney Transplantation; D010535:Laparoscopy; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D014019:Tissue Donors