Abstract

CORONA-MONTES, Víctor Enrique et al. Minimaly invasive cavotomy for metastasectomy in renal carcinoma recurrence. Rev. mex. urol. [online]. 2022, vol.82, n.5, e05.  Epub Feb 13, 2023. ISSN 2007-4085.  https://doi.org/10.48193/revistamexicanadeurologa.v82i5.955.

We report the case of a 65 year-old man who attended his evaluation and follow-up for clear cell renal carcinoma, postoperative laparoscopic right radical nephrectomy pT3N0M0 in 2017. In his quarterly oncological follow-up, he attended with his control by abdominal-pelvic tomography in which local subhepatic recurrence was observed and an adrenal gland plus an occupying mass in the abdominal vena cava subdiaphragmatic level II of the Neves-Sincke classification, for which a laparoscopic metastasectomy with trombectomy was protocolized. With a preoperative hemoglobin of 17 ng/dl, and a creatinine of 1.75 ng/dl, blood glucose 11 ng/dl, the rest of the studies normal as well as a normal general urine test. The intervention course without intraoperative complications, bleeding calculated of 1400 ml which required a transfusion of 1 unit red blood cell, being discharged at 72 hours. The histopatologic result clear cell carcinoma Furhman 2 with thombous.

Keywords : Cavotomy; Renal Carcinoma; Laparoscopy; Minimaly Invasive Surgery.

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