Chinese Medical Sciences Journal ›› 2011, Vol. 26 ›› Issue (4): 249-250.doi: 10.1016/S1001-9294(12)60010-8
Open Partial Nephrectomy in Solitary Kidney with Multiple Renal Cell Carcinoma: a Case Report
Ji-rui Niu, Quan-zong Mao, and Zhi-gang Ji
- Departments of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Open Partial Nephrectomy in Solitary Kidney with Multiple Renal Cell Carcinoma: a Case Report
Ji-rui Niu, Quan-zong Mao, and Zhi-gang Ji
- Departments of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
摘要： RENAL cell carcinoma (RCC) in a solitary kidney presents a unique clinical challenge to urolo- gical surgeons. Partial nephrectomy (PN) or nephron-sparing surgery in this condition provides good oncological and renal fuctional outcomes with an acceptable complication rate.Long-term renal function remains stable in most patients with solitary kidneys after a reduction of more than 50% in renal mass.PN is a surgical procedure reserved for patients with a tumor in a solitary kidney, bilateral renal tumors, or renal function impairment.The challenge of preserving renal parenchyma is significantly complicated with the discovery of multiple masses in a solitary kidney because any subsequent complications may result in a significant decline in quality of life. Particularly in the case of postoperative renal failure, dialysis becomes necessary.
