title: Renal sparing surgery using focus ultracision harmonic scalpel in patients with bilateral wilms' tumor: case report.
abstract: BACKGROUND
  Bilateral Wilms' tumor is rare and surgical treatment requires an individual approach. Surgical approach to the tumors located in the central part of the kidney represents a major challenge and nephrectomy is usually essential. Renal sparing surgery is difficult in such cases.
  
  
  METHODS
  We describe a 3 year-old female patient with bilateral Wilms' tumor arising in the central localisation of the right and foci in the left kidney enucleated successfully with a simple and comfortable renal preserving operative technique using Focus Ultracision Harmonic Scalpel.
  
  
  CONCLUSIONS
  In cases when tumors are located in the central part of the kidney and partial nephrectomy is consequently very difficult, the use of a Focus Ultracision Harmonic Scalpel provides easy dissecting, enucleation, and excision of the tumor.
authors.affiliation: Department of Pediatric Surgery, Çukurova University Faculty of Medicine, Adana, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Alkan
authors.affiliation: Department of Pediatric Surgery, Çukurova University Faculty of Medicine, Adana, Turkey.
authors.forename: Cemal
authors.initials: C
authors.lastname: Parlakgümüş
authors.affiliation: Department of Pediatric Surgery, Çukurova University Faculty of Medicine, Adana, Turkey.
authors.forename: Serdar Hilmi
authors.initials: SH
authors.lastname: Iskit
authors.affiliation: Department of Pediatric Surgery, Çukurova University Faculty of Medicine, Adana, Turkey.
authors.forename: Recep
authors.initials: R
authors.lastname: Tuncer
authors.affiliation: Department of Pediatric Surgery, Çukurova University Faculty of Medicine, Adana, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Okur
authors.affiliation: Department of Pediatric Surgery, Çukurova University Faculty of Medicine, Adana, Turkey.
authors.forename: Unal
authors.initials: U
authors.lastname: Zorludemir
keywords: Bilateral Wilms’ tumor; harmonic; renal sparing