V7-02 ROBOTIC PARTIAL NEPHRECTOMY FOR A COMPLEX HILAR MASS IN A 14 YEAR OLD BOY

Abstract

You have accessJournal of UrologyPediatrics1 Apr 2015V7-02 ROBOTIC PARTIAL NEPHRECTOMY FOR A COMPLEX HILAR MASS IN A 14 YEAR OLD BOY Abhishek Srivastava, Aryeh Keehn, Amanda North, and Reza Ghavamian Abhishek SrivastavaAbhishek Srivastava More articles by this author , Aryeh KeehnAryeh Keehn More articles by this author , Amanda NorthAmanda North More articles by this author , and Reza GhavamianReza Ghavamian More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1933AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robotic surgery still poses many challenges in pediatric patients and there has been limited use of minimally invasive approaches for treatment of renal masses in pediatric population. We present a case of 14 year old boy with history of recurrent urinary tract infections and bilateral hydronephrosis, who underwent bilateral pyeloplasty several years ago and presented to the emergency room after a right renal mass was seen on a follow-up renal ultrasound. METHODS CT scan showed 4.2cm, infrahilar renal mass. Renal scan revealed a split differential function of 42% on the right and 52% on the left. Serum creatinine was 1.1. Given the patient's young age, prior history of bilateral renal surgery on both kidneys, the increased risk of CKD in the long-term and the equivalent oncologic efficacy of partial vs. radical nephrectomy, we considered nephron-sparing surgery. Plan was for a Robotic Right Partial Nephrectomy with intraoperative ultrasonography. If partial nephrectomy was not deemed possible, we would have proceeded with radical nephrectomy. RESULTS We were able to successfully perform Robotic partial nephrectomy without any complications. Pathology revealed Renal cell carcinoma, unclassified type, 5.5 × 5.4 × 3.4 cm (High Grade). Postoperative creatinine was 1.3. Surgical resection margins were negative for tumor. Patient was discharged on postoperative day 4. CONCLUSIONS Robotic partial nephrectomy is feasible in complex hilar mass and in pediatric population. It should be attempted if nephron sparing is indicated. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e659 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Abhishek Srivastava More articles by this author Aryeh Keehn More articles by this author Amanda North More articles by this author Reza Ghavamian More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...