Publication
Abstract
Female patient, 63 years of age, after open transperitoneal nephrectomy on the left, histology confirmed clear cell renal carcinoma (pT2b G3). Two new tumours in the right solitary kidney were found during staging CT.
The patient was indicated for laparoscopic nephron-sparing surgery. We found another five small tumours during the procedure.
PADUA score: 2x, 9a, 5x, 7a. We resected all the tumours into macroscopicaly negative margins from four resection defects.
We used selective clamping (WIT 19 min) during resection of the biggest tumour. We used V-LocTM stitch to close the defects.