Extracorporeal Partial Nephrectomy with Orthotopic Autotransplantation under Pharmaco-Cold Ischaemia for Cancer of a Single Kidney: A Case Report-Reference-Cited by-同舟云学术

Extracorporeal Partial Nephrectomy with Orthotopic Autotransplantation under Pharmaco-Cold Ischaemia for Cancer of a Single Kidney: A Case Report

Published:2020-09-29 Issue:3 Volume:13 Page:1202-1208
ISSN:1662-6575
Container-title:Case Reports in Oncology
language:en
Short-container-title:Case Rep Oncol

Author:

Baitman Tatiana,Miroshkina Irina,Gritskevich Alexander,Teplov Alexander,Zotikov Andrey,Kochetov Alexander,Demidova Valentina,Chupin Andrey,Stepanova Yulia,Schima Wolfgang,Karmazanovsky Grigory

Abstract

Up to 10% of patients with renal cell carcinoma (RCC) have locally advanced disease with venous tumour thrombosis involving the inferior vena cava (IVC). 30–50% of them present with synchronous metastatic disease. Surgical treatment remains the only potentially radical method for patients suffering from RCC and IVC tumour thrombosis without distant metastases. Five-year cancer-specific survival for such patients is 40–60%. The role of surgery in the treatment of RCC is significant, even if only cytoreductive operation is possible. Nephron-sparing surgery (NSS) is reasonably preferable for patients suffering from single kidney RCC, but it is not always radical enough. Extracorporeal approach allows to perform a radical dissection of the tumour in special complicated cases, but it is seldom used because of technical difficulties. We present a case of successful NSS by extracorporeal approach in our modification for RCC with IVC tumour thrombosis.

Publisher

S. Karger AG

Subject

Oncology

Reference16 articles.

1. Davydov MI, Matveev VB, Volkova MI, Feoktistov PI, Kuznetsov KP, Nekhaev IV, et al. Surgical treatment of Renal Cell Carcinoma (RCC) with level III–IV tumour venous thrombosis. Cancer Urology. 2016;12(4):21–34.

2. Gayed BA, Youssef R, Darwish O, Kapur P, Bagrodia A, Brugarolas J, et al. Multidisciplinary surgical approach to the management of patients with renal cell carcinoma with venous tumour thrombus: 15-year experience and lessons learned. BMC Urol. 2016;16(1):43.

3. Mickisch G, Garin A, van Poppel H, de Prijck L, Sylvester R. Radical nephrectomy plus interferon-alfa-based immunotherapy compared with interferon alfa alone in metastatic renal-cell carcinoma: a randomised trial. Lancet. 2001;358(9286):966–70.

4. McKiernan J, Simmons R, Katz J, Russo P. Natural history of chronic renal insufficiency after partial and radical nephrectomy. Urology. 2002;59:816.

5. Rocco M, Frankenfield DL, Hopson SK, McClellan WM. Relationship between clinical performance measures and outcomes among patients receiving long-term hemodialysis. Ann Intern Med. 2006;145:512.