PURPOSE: To demonstrate the beneficial results of hand-assisted laparoscopic tumor nephrectomy in pregnancy and to emphasize the proper timing of such surgery for its crucial importance attempting to avoid fatal cancer-related outcomes as a result of late interventions of aggressive tumors. METHODS: A report of a 32-year-old woman with a 61 × 41 mm chromophobe renal cell carcinoma (RCC) successfully treated with laparoscopic transperitoneal hand-assisted nephrectomy during the 20th week of gestation is presented. RESULTS: The fetus was stable during the intervention; the postoperative period was uneventful; she had a normal vaginal delivery at term and gave birth to a healthy female child. The patient remained tumor-free at her 34-month follow-up. CONCLUSION: Although the pure laparoscopic interventions have become recognized in the treatment of RCC over the last decade, these methods have their limitations and dangers as well. The hand-assistance method makes the procedure faster and safer which is especially important during second or third trimester. Renal biopsy may play a specifically important role in predicting the malignant potential of a renal tumor, whereas postponement of this surgery until after delivery, may lead to the mother's death. To our knowledge, this is the first report on hand-assisted laparoscopic nephrectomy in pregnancy.
PURPOSE: To demonstrate the beneficial results of hand-assisted laparoscopic tumor nephrectomy in pregnancy and to emphasize the proper timing of such surgery for its crucial importance attempting to avoid fatal cancer-related outcomes as a result of late interventions of aggressive tumors. METHODS: A report of a 32-year-old woman with a 61 × 41 mm chromophobe renal cell carcinoma (RCC) successfully treated with laparoscopic transperitoneal hand-assisted nephrectomy during the 20th week of gestation is presented. RESULTS: The fetus was stable during the intervention; the postoperative period was uneventful; she had a normal vaginal delivery at term and gave birth to a healthy female child. The patient remained tumor-free at her 34-month follow-up. CONCLUSION: Although the pure laparoscopic interventions have become recognized in the treatment of RCC over the last decade, these methods have their limitations and dangers as well. The hand-assistance method makes the procedure faster and safer which is especially important during second or third trimester. Renal biopsy may play a specifically important role in predicting the malignant potential of a renal tumor, whereas postponement of this surgery until after delivery, may lead to the mother's death. To our knowledge, this is the first report on hand-assisted laparoscopic nephrectomy in pregnancy.
Authors: James P B O'Connor; Chandra S Biyani; Joby Taylor; V Agarwal; Paul J Curley; Anthony J Browning Journal: J Endourol Date: 2004-11 Impact factor: 2.942
Authors: Gabriel Oelsner; David Stockheim; David Soriano; Mordechai Goldenberg; Daniel S Seidman; Shlomo B Cohen; Dalia Admon; Ilya Novikov; Shlomo Maschiach; Howard J A Carp; S Anderman; M Ben-Ami; A Ben-Arie; Z Hagay; M Bustan; E Shalev; H Carp; O Gemer; A Golan; M Holzinger; Y Beyth; A Horowitz; Y Hamani; M Keis; O Lavie; D Luxman; G Oelsner; D Stockheim; N Rojansky; G Taichner; C Yafe; S Zohar; B Bilanca Journal: J Am Assoc Gynecol Laparosc Date: 2003-05
Authors: Jonathan P Pearl; Raymond R Price; Allison E Tonkin; William S Richardson; Dimitrios Stefanidis Journal: Surg Endosc Date: 2017-06-22 Impact factor: 4.584
Authors: László Mangel; Krisztina Bíró; István Battyáni; Péter Göcze; Tamás Tornóczky; Endre Kálmán Journal: BMC Cancer Date: 2015-12-24 Impact factor: 4.430