Abstract
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.
Highlights
The incidence of most cancers is on the rise
The aim of our work was to present our experience in managing synchronous bilateral renal cell carcinoma (RCC) using single-stage bilateral transverse lateral lumbotomy incision
Retrospective data analysis of patients having synchronous bilateral clinically suspected RCC, which was managed by single-stage surgery by a single urologist (AK), was the Journal of Kidney Cancer and VHL 2021; 8(1): 7–11 method of choice
Summary
The incidence of most cancers is on the rise. Canadian cancer statistics was expecting 7500 new kidney cancer diagnosis within 2020 with an age standardized incidence rate of 17.3 in 100,000 population, with Ontario expected to have onethird of the newly diagnosed cases [1]. Bilateral renal cell carcinoma (RCC) occurs in less than 5% of kidney cancer, with the incidence of synchronous bilateral RCC being 1 out of 333 (0.3%) patients with RCC [2]. The aim of our work was to present our experience in managing synchronous bilateral RCC using single-stage bilateral transverse lateral lumbotomy incision
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