Double partial nephrectomy in allograft transplanted kidney

Bishoy Hanna; Jared White; Venu Chalasani; Stella McGinn; Matthew Winter

doi:10.1016/j.eucr.2020.101517

Double partial nephrectomy in allograft transplanted kidney

Urol Case Rep. 2020 Dec 1:35:101517. doi: 10.1016/j.eucr.2020.101517. eCollection 2021 Mar.

Authors

Bishoy Hanna¹, Jared White², Venu Chalasani^{2

3

4}, Stella McGinn⁵, Matthew Winter^{1

2}

Affiliations

¹ Nepean Urology Research Group, Nepean Hospital, Derby St, Kingswood, NSW 2747, Australia.
² Department of Urology, Royal North Shore Hospital, Reserve Rd, St Leonards, NSW 2065, Australia.
³ Department of Urology, University of Sydney, Camperdown, NSW 2006, Australia.
⁴ Department of Urology, Sydney Adventist Hospital, Wahroonga, NSW 2076, Australia.
⁵ Department of Nephrology, Royal North Shore Hospital, Reserve Rd, St Leonards, NSW 2065, Australia.

Abstract

A 61-year-old female presented with an incidental anterior mid pole renal mass on ultrasound. She had previously undergone live directed donor renal transplantation 13 years prior. As the 10 year survival of living transplant recipients increases, malignancy presentations will continue to rise. Nephron sparing surgery in renal allografts is sparse due to difficult operative dissection and complicated hila vascular control. We present the use of manual atraumatic graded bowel clamp pressure around the resected tumour as a viable option to safely perform partial nephrectomy in a transplanted kidney.

Keywords: Allograft; Nephron sparing surgery; Partial nephrectomy; Transplant.

Publication types

Case Reports