GIANT CYSTIC LEFT RENAL TUMOR - CONSIDERATIONS ON A CLINICAL

CASE SOLVED LAPAROSCOPICALLY

Grigorean Valentin Titus
1
, MD, PhD; Iacobini Mihai Aurelian
2
, MD; Mihai Popescu
3
, MD,
PhD; Victor Strbu
!
, MD, PhD; "eac#u $%t%lin Marius
2
, MD; Stoian Ale&an'ru()are#
1
,
MD; )o&ana $orina *u+
2
, MD; )a'u Violeta ,lena
2
, MD; San'u Aurelia Mihaela
-
, MD
1
Emergency Clinical Hospital Bagdasar-Arseni, Department of General Surgery, U! "Carol Da#ila$,
Buc%arest, &omania
'
Emergency Clinical Hospital Bagdasar-Arseni, Department of General Surgery, Buc%arest, &omania
(
)itesti County Hospital, *eurosurgery Clinic, )itesti, &omania
+
Emergency Clinical Hospital Sf, )antelimon, Department of General Surgery, U! "Carol Da#ila$,
Buc%arest, &omania
-
Emergency Clinical Hospital Bagdasar-Arseni, Department of *eurosurgery, Buc%arest, &omania
Aim: .e report a clinical case o+ giant c/stic le+t renal tuor 0ith consi'erable si1e, sol2e'
through laparoscopic approach3
Methods: Patient A3)3, 4! /ears ol', 0ithout surgical personal pathological histor/ 0as
a'itte' into the 'epartent o+ general surger/ 0ith slight alteration o+ general status an'
ab'oinal pain locate' prepon'erant in the le+t h/pochon'riu an' ab'oinal +lan5 an'
palpable ab'oinal tuor; the patient ha' no accuse in gastrointestinal sphere, nor bo0el
'isor'ers3 6ollo0ing clinical, iaging 7$T(scan8 an' inter'isciplinar/ e&ainations
7urological e&a8 a 2oluinous c/stic le+t retroperitoneal tuor 719:1!:; c8, an' point o+
'eparture le+t 5i'ne/ 0as re2eale' an' in'ication +or surger/ 0as establishe'3
Results: .e per+ore' laparoscopic surger/, into the 'epartent o+ general surger/, an'
practice' le+t colo(parietal ta5e(o++, le+t nephrecto/ 0ith la2age an' peritoneal 'rainage3
The +a2orable outcoe o+ the patient con+ire' the accurac/ o+ the therapeutic attitu'e an'
the e++icienc/ o+ the applie' etho'3
Co!lusios:
0e consi'er laparoscopic approach bene+icial +or patholog/ o+ the renal tuors, in
selecte' cases, because it allo0s easil/ 2ie0ing an' reaching in soe
intraab'oinal spaces, shortens operator/ tie an' postoperati2e
reco2er/ perio'
the laparoscopic treatent is a 2iable, sa+e an' e++ecti2e solution in selecte'
patients, 0ith re'uce' orbi'it/ an' ortalit/ copare' 0ith classic
surger/
the laparoscopic approach ten's to ipose as a stan'ar' treatent, in selecte' cases,
b/ the iniu ris5 an' clear bene+its that it o++ers, copare' 0ith
con2entional surger/
laparoscopic approach can success+ull/ 'eal, 0ith a&iu e++icienc/
an' sa+et/, the presente' patholog/
its goo' results are con'itione' b/ a'e<uate technical support an' nee's a surgical
tea 0ith e&perience in laparoscopic surger/
laparoscop/ is the i'eal etho' o+ treatent because o+ the a'2antages o++ere'= sall
incisions 0ith superior cosetic results, short hospital sta/, lo0 orbi'it/, inial
postoperati2e a'hesions, an' <uic5 socio(pro+essional reco2er/