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Nephrectomy is the surgical removal of the affected kidney for treatment of renal cell carcinoma. Recently partial nephrectomy for smaller tumors has become more common, and surgical procedures to preserve renal function have been used. In patients with chronic renal failure whose renal function is already decreased , non ischemic enucleation of renal cell carcinoma has been performed to preserve renal function . However, consier tion of performing dialysis before surgery is necessary in patient with large or bilateral tumor mass. The current case involves a patient with chronic renal failure whose renal tumor was detected by CT scan at an outpatient follow-up. Due to the tumor diameter, tumor enucleation was considered difficult, and left forearm internal shunt was surgically created for dialysis after surgery. Partial nephrectomy was performed using microwave tissue coagulator (MTC) without vascular control. As result, the patient underwent urgent perioperative dialysis but maintenance treatment was not required. At present, the patient receives outpatient services without the need for dialysis.

Renal cell carcinoma in a patient with chronic renal failure who avoided postoperative maintenance hemodialysis by successful partial nephrectomy