Category: Laparoscopic/ Robotic: Renal
Introduction & Objective : Cyroablative therapy for small renal masses is associated with higher local recurrence, and is typically managed with radical nephrectomy. In well selected patients that would benefit from nephron sparing, we performed feasilbility of partial nephrectomy for managment of a larger (cT1b) renal mass after a cyroablative treatment.
Methods : Patient is a 64 year old female with CKD 3A (eGFR = 55) with history of nephrolithasis and general abdominal pain, that was managed with percutaneous cryoablation of a 3.4 cm mass. She then had a local recurrence with >6cm exophytic mass of the lower pole of the right kidney.
Results : We performed a robotic assisted right partial nephrectomy. Total ischemia time of 41 minutes and EBL of 75 cc. She had an uneventful recovery and was discharged home without complication. Renaul function was unchanged at time of discharge.
Conclusions : Partial nephrectomy is feasilble in select post cryoablative recurrence even in the setting of a large renal mass.
Stephen Ryan– Urologic Oncology Fellow, University of California San Diego, San Diego, California
Madhumitha Reddy– University of California San Diego, San Diego, California
Stephen Unterberg– Chief Resident, UC San Diego, San Diego, California
Richmond Owusu– La Jolla, California
Ithaar Derweesh– Professor of Urology and Radiology Program Director, Urologic Oncology Fellowship, Department of Urology, University of California San Diego School of Medicine, San Diego, California
Urologic Oncology Fellow
University of California San Diego
San Diego, California
Medical School: East Carolina University
Residency: Maine Medical
Fellowship: Uro/Onc UCSD