Bilateral Single-Stage Nephrectomy for Synchronous Bilateral Renal Cell Carcinoma

• Main Authors: Ahmed Kotb, Amer Alaref, David Kisselgoff, Asmaa Ismail, Radu Rozenberg, Nishigandha Burute, Walid Shahrour, Owen Prowse, Hazem Elmansy
• Format: Article
• Language: English
• Published: Codon Publications 2021-01-01
• Series: Journal of Kidney Cancer and VHL
• Subjects: RCC; Lumbotomy; Nephrectomy
• Online Access: https://jkcvhl.com/index.php/jkcvhl/article/view/151

Bilateral synchronous renal cell carcinoma (RCC) is uncommonly encountered. Debate exists among urologists in managing these cases in a single surgery versus staged surgeries. We aim to report our experience in managing encountered cases using single-stage surgeries. Retrospective collection of cases with pathologically confirmed RCC that had single-stage bilateral renal surgery over the past 2 years. Three cases were identified. Patients were managed using bilateral transverse lateral lumbotomy. All patients did not have intraoperative or postoperative complications. Kidney function stayed stable after surgery. Single-stage bilateral renal surgery is a safe procedure. Bilateral transverse lateral lumbotomy allows for a fast and safe surgery with minimal complications. There is a possible histological disconcordance in bilateral synchronous RCC.