Universität zu Köln

Voeller, Moritz, Mahmud, Walid, Vallo, Stefan, Grabbert, Markus, John, Patricia and Khoder, Wael Y. (2021). A 27-Year-Old Primigravida with a Right Renal Cell Carcinoma Removed at 30 Weeks of Gestation by Robot-Assisted Retroperitoneoscopic Partial Nephrectomy. Am. J. Case Rep., 22. MELVILLE: INT SCIENTIFIC INFORMATION, INC. ISSN 1941-5923

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Abstract

Objective: Rare disease Background: Large renal tumors during pregnancy are rare findings (0.07-0.1%). Current guidelines recommend surgical removal. This surgery should be carefully planned in an interdisciplinary team and involves special risks for mother and fetus. This report describes a case of a 27-year-old primigravida woman with a right renal cell carcinoma involving the lower pole of the kidney, which was removed at 30 weeks of gestation by robot-assisted retro-peritoneoscopic partial nephrectomy (RARPN). Case Report: The patient was referred by the treating obstetrician with a newly diagnosed right lower pole renal mass of 6x4 cm in greatest diameter extending deeply into the parenchyma. No metastasis or enlarged lymph nodes were described in subsequent magnetic resonance tomography. Clinical and laboratory examinations documented a healthy mother and fetus. A right-sided RARPN was advised and planned by an interdisciplinary team of treating physicians (gynecologists, oncologists, and urologists). The surgery was conducted under general anesthesia with an obstetrician on stand-by. Surgery was performed without any complications (operation time 95 min, renal-ischemia time 15 min, and negligible blood loss) and histopathology confirmed the diagnosis of a chromophobe renal cell carcinoma. Further follow-up consultations showed regular wound healing and normal progression of pregnancy, and the patient gave birth to a healthy child at term. Follow-up examinations of the patient were uneventful. Conclusions: This case shows that RARPN can be a safe and effective surgical procedure for partial nephrectomy during pregnancy, where surgery is performed in a specialist center and by an interdisciplinary experienced surgical team. It seems to offer advantages and better risk profile over the laparoscopic approach.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Voeller, Moritz UNSPECIFIED UNSPECIFIED UNSPECIFIED Mahmud, Walid UNSPECIFIED UNSPECIFIED UNSPECIFIED Vallo, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Grabbert, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED John, Patricia UNSPECIFIED UNSPECIFIED UNSPECIFIED Khoder, Wael Y. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-583878
DOI:	10.12659/AJCR.927164
Journal or Publication Title:	Am. J. Case Rep.
Volume:	22
Date:	2021
Publisher:	INT SCIENTIFIC INFORMATION, INC
Place of Publication:	MELVILLE
ISSN:	1941-5923
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LAPAROSCOPIC RADICAL NEPHRECTOMY; PREGNANCY; APPENDICITIS; MANAGEMENT; CHOLELITHIASIS; CANCER Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58387