One-step Endovascular Aortic Aneurysm Repair With CO2 contrast and Robotic Partial Nephrectomy for Renal Cell Carcinoma: Case Report.
Vasc Endovascular Surg
; 56(8): 812-816, 2022 Nov.
Article
em En
| MEDLINE
| ID: mdl-35950908
ABSTRACT
INTRODUCTION:
Although rare, as the population ages, abdominal aortic aneurysm synchronous to abdominal malignancies, as renal cell carcinoma, is expected to become more prevalent. There are only two case reports of minimally invasive surgeries to treat these synchronous diseases, with endovascular aortic repair and laparoscopic nephrectomy, but they were performed in two stages, with iodinated contrast and without robotic assistance. CASE REPORT We herein present a case of a 71-year-old patient with chronic kidney disease, a 6.4 cm infra-renal abdominal aortic aneurysm associated and a suspicious 6 cm solid-cystic expansile lesion in the right kidney, successfully treated at one stage with endovascular aortic repair using carbon dioxide as a contrast medium and with robotic right partial nephrectomy, aiming to preserve the renal function as much as possible. The patient's postoperative course was free of complications with hospital discharge on the fifth postoperative day, with a serum creatinine of 0.84 mg/dL.CONCLUSION:
single-stage minimally invasive surgical treatment of AAA and RCC can be a safe and feasible approach. Combining a robot-assisted laparoscopic partial nephrectomy with an EVAR using carbon dioxide as a contrast medium was safe and successfully preserved renal function.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Robótica
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Carcinoma de Células Renais
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Aneurisma da Aorta Abdominal
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Implante de Prótese Vascular
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Procedimentos Endovasculares
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Procedimentos Cirúrgicos Robóticos
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Neoplasias Renais
Limite:
Aged
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Humans
Idioma:
En
Revista:
Vasc Endovascular Surg
Ano de publicação:
2022
Tipo de documento:
Article