Minimally invasive treatment of complications after laparoscopic partial nephrectomy in solitary kidney

Cover Page

Cite item

Full Text

Abstract

Clinical observations were made regarding the effectiveness of minimally invasive interventions in the treatment of complications after laparoscopic partial nephrectomy in solitary kidney, due to the presence of a tumor. On the first day after the operation, abundant bleeding from the stump of the superior segmental renal artery was noted; this was stopped by selective embolization. On the 7th day after the operation, a urinary fistula was revealed, which developed because of violation of the integrity of the pyelocaliceal kidney system. After stenting of the kidney was performed, urine excretion in the retroperitoneal drainage was stopped.

About the authors

Zaur K. Emirgaev

Russian Research Center of Radiology and Surgical Technologies named after Academ. A.M. Granov, Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: zaur.emirgaev@mail.ru

Clinical Resident, Research Fellow, De­part. of Operative Oncology and Operative Urology

Russian Federation, Saint Petersburg

Oleg A. Bogomolov

Russian Research Center of Radiology and Surgical Technologies named after Academ. A.M. Granov, Ministry of Healthcare of the Russian Federation

Email: urologbogomolov@gmail.com

Cand. of Medical Sciences, Research Fellow, Depart. of Operative Oncology and Operative Urology

Russian Federation, Saint Petersburg

Mikhail I. Shkolnik

Russian Research Center of Radiology and Surgical Technologies named after Academ. A.M. Granov, Ministry of Healthcare of the Russian Federation

Email: shkolnik_phd@mail.ru

Doctor of Medical Sciences, Sсientific Head, Depart. of Operative Oncology and Operative Urology

Russian Federation, Saint Petersburg

Denis G. Prokhorov

Russian Research Center of Radiology and Surgical Technologies named after Academ. A.M. Granov, Ministry of Healthcare of the Russian Federation

Email: info@rrcrst.ru

Candidate of Medical Sciences, Senior Research Fellow, Depart. of Operative Oncology and Operative Urology

Russian Federation, Saint Petersburg

Aleksej S. Polehin

Russian Research Center of Radiology and Surgical Technologies named after Academ. A.M. Granov, Ministry of Healthcare of the Russian Federation

Email: info@rrcrst.ru

Doctor for x-Ray Methods of Diagnostics and Treatment, Depart. of Angiography

Russian Federation, Saint Petersburg

References

  1. Cohen H, McGovern F. Renal cell carcinoma. N Engl J Med. 2005;353(23):3477-3490. doi: 10.1056/NEJMra043172.
  2. Атдуев В.А., Шейыхов Г.И., Данилов А.А., и др. Структура 90-дневных осложнений после резекции единственной почки при опухолях ее паренхимы // Онкоурология. – 2017. – Т. 13. – № 2. – С. 20–26. [Atduev VA, Sheiykhov GI, Danilov AA, et al. Structure of 90 days complications after solitary kidney resection due to parenchyma tumors. Onkourologiya = Onkouro-logy. 2017;13(2):20-26. (In Russ.)]. doi: 10.17650/1726-9776-2017-13-2-20-26.
  3. Матвеев В.Б., Волкова М.И., Алборов С.В., и др. Резекция единственной функционирующей почки при опухолях почечной паренхимы // Онкоурология. – 2017. – Т. 13. – № 2. – С. 27–35. [Matveev VB, Volkova MI, Alborov SV, et al. Partial nephrectomy for patients with a solitary kidney. Onkourologiya = Onkourology. 2017;13(2):27-35. (In Russ.)]. doi: 10.17650/1726-9776-2017-13-2-27-35.
  4. Волкова М.И., Алборов С.В., Черняев В.А., и др. Функциональные результаты резекции единственной функционирующей почки при опухолях почечной паренхимы // Онкоурология. – 2017. – Т. 13. – № 3. – С. 46–53. [Volkova MI, Alborov SV, Chernyaev VF et al. Functional results of partial nephrectomy in solitary functioning kidney tumors. Onkourologiya = Onkouro-logy. 2017;13(3):46-53. (In Russ.)]. doi: 10.17650/1726-9776-2017-13-3-46-53.
  5. Алексеев Б.Я., Калпинский А.С. Чрескожная радиочастотная абляция в лечении опухолей почек // Онкохирургия. – 2012. – Т. 4. – № 4. – С. 20–24. [Alekseev BYa, Kalpinskiy AS. Percutaneous Radiofrequency Ablation in kidney tumor treatment. Oncochirurgiya = Oncosurgery. 2012;4(4):20-24. (In Russ.)]
  6. Klatte T, Ficarra V, Gratzke C, et al. A literature review of renal surgical anatomy and surgical strategies for partial nephrectomy. Eur Urol. 2015;6(68):980-92. doi: 10.1016/j.eururo.2015.04.010.
  7. Buffi N, Lista G, Larcher A, et al. Margin, ischemia, and complications (MIC) score in partial nephrectomy: a new system for evaluating achievement of optimal outcomes in nephron-sparing surgery. Eur Urol. 2012;62(4):618-619. doi: 10.1016/j.eururo.2012.06.031.
  8. Матвеев В.Б., Волкова М.И., Скворцов И.Я., и др. Целесообразность и безопасность трансперитонеальной лапароскопической резекции почки при опухолях почечной паренхимы // Онкоурология. – 2014. – Т. 10. – № 1. – С. 25–34. [Matveev VB, Volkova MI, Skvortsov IYa, et al. The advisability and safety of transperitoneal laparoscopic nephrectomy for renal parenchymal tumors. Onkourologiya = Onkourology. 2014;10(1):25-34. (In Russ.)]. doi: 10.17650/1726-9776-2014-10-1-25-34.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. 1. Multislice spiral computed tomography with intravenous contrasting of the patient. A tumor of the solitary left kidney is shown adjacent to the pelvicalyceal system

Download (188KB)
Indexing metadata
3. Fig. 2. Tumor of the left kidney. Intraoperative photography

Download (235KB)
Indexing metadata
4. Fig. 3. Left kidney after laparoscopic tumor resection. Intraoperative photography

Download (303KB)
Indexing metadata
5. Fig. 4. Angiography of the left renal artery. Extravasation of the contrast agent through the stump of the superior segmental artery

Download (149KB)
Indexing metadata
6. Fig. 5. Control angiography after superselective embolization of the superior segmental artery. There is no extravasation of the contrast agent

Download (204KB)
Indexing metadata
7. Fig. 6. Magnetic resonance imaging with intravenous contrast agent administration in the axial (а) and sagittal (b) planes

Download (266KB)
Indexing metadata

Copyright (c) 2019 Emirgaev Z.K., Bogomolov O.A., Shkolnik M.I., Prokhorov D.G., Polehin A.S.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 


Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).