
Bilateral Single-Stage Nephrectomy for Synchronous Bilateral Renal Cell Carcinoma
Author(s) -
Ahmed Kotb,
Amer Alaref,
David Kisselgoff,
Radu Rozenberg,
Nishigandha Burute,
Walid Shahrour,
Owen Prowse,
Hazem Elmanasy
Publication year - 2021
Publication title -
journal of kidney cancer and vhl
Language(s) - English
Resource type - Journals
ISSN - 2203-5826
DOI - 10.15586/jkcvhl.v8i1.151
Subject(s) - medicine , renal cell carcinoma , nephrectomy , stage (stratigraphy) , surgery , concordance , carcinoma , kidney , oncology , pathology , paleontology , biology
Bilateral synchronous renal cell carcinoma (RCC) is uncommonly encountered. Debate exists among urologists in managing these cases in a single surgery versus staged surgeries. We aim to report our experience in managing encountered cases using single-stage surgeries. Retrospective collection of cases with pathologically confirmed RCC that had single-stage bilateral renal surgery over the past 2 years. Three cases were identified. Patients were managed using bilateral transverse lateral lumbotomy. All patients did not have intraoperative or postoperative complications. Kidney function stayed stable after surgery. Single-stage bilateral renal surgery is a safe procedure. Bilateral transverse lateral lumbotomy allows for a fast and safe surgery with minimal complications. There is a possible histological dis-concordance in bilateral synchronous RCC.