Laparoscopic Retroperitoneal Nephron-Sparing Surgery Without Renal Artery Clamping with Preoperative Selective Arterial Embolization for Management of Right Renal Angiomyolipoma of Diameter 10 cm: A Case Report
Author(s) -
Tatsuhiko Hoshii,
Shinichi Morita,
Yohei Ikeda,
Go Hasegawa,
Tsutomu Nishiyama
Publication year - 2017
Publication title -
journal of endourology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.123
H-Index - 1
ISSN - 2379-9889
DOI - 10.1089/cren.2016.0133
Subject(s) - medicine , angiomyolipoma , renal artery , tuberous sclerosis , surgery , embolization , renal function , laparoscopy , arterial embolization , retroperitoneal hemorrhage , kidney , radiology , urology
A 38-year-old female without the tuberous sclerosis complex was diagnosed with right renal angiomyolipoma of 10 cm in diameter. She underwent laparoscopic retroperitoneal nephron-sparing surgery without renal artery clamping with preoperative selective arterial embolization to avoid a significant risk of hemorrhage and the damage of the renal function during nephron-sparing surgery. The tumor was resected completely. The time taken to complete the procedure was 4 hours 11 minutes and blood loss was 780 mL. She was transfused 400 mL of autologous blood.
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