[Ex Vivo Partial Nephrectomy and Auto-Transplantation of a Solitary Kidney with Metastatic Renal Cell Carcinoma : A Case Report].
A 68-year-old man underwent radical nephrectomy for renal cell carcinoma of the right kidney 12 years ago. He was diagnosed as having a recurrent tumor of the contralateral kidney and a single metastatic pulmonary lesion by diagnostic imaging on the annual checkup. He visited us in order to receive nephron sparing surgery. Since the preoperative abdominal computed tomography showed tumor thrombus invading into the intrarenal vein, ex vivo partial nephrectomy and auto-transplantation was performed. Although he received transit hemodialysis during the postoperative 10 days, his renal function, thereafter became stable without hemodialysis. Eighty-seven days later he underwent right lower lobectomy. At postoperative 6 months he has no local recurrence or distant metastasis and maintains well-preserved renal function.
The Department of Urology, Nara Medical University.
Takuya
T
Owari
The Department of Urology, Nara Medical University.
Katsunori
K
Yoshida
The Department of Urology, Nara Medical University.
Tatsuo
T
Yoneda
The Department of Urology, Nara Medical University.
Takashi
T
Iwamoto
The Department of Urology, Nara Medical University.
Shunta
S
Hori
The Department of Urology, Nara Medical University.
Yousuke
Y
Morizawa
The Department of Urology, Nara Medical University.
Masaomi
M
Kuwada
The Department of Urology, Nara Medical University.
Makito
M
Miyake
The Department of Urology, Nara Medical University.
Kazumasa
K
Torimoto
The Department of Urology, Nara Medical University.
Katsuya
K
Aoki
The Department of Urology, Nara Medical University.
Nobumichi
N
Tanaka
The Department of Urology, Nara Medical University.
Kiyohide
K
Fujimoto
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009392:Nephrectomy / Q000379:methods*; D014182:Transplantation, Autologous; D016896:Treatment Outcome