Email this article 
Robot-assisted partial nephrectomy with calicolithotomy
- Authors: Mosoyan M.S.1,2, Shanava G.S.1,3, Simonyan A.M.1, Aysina N.A.1
-
Affiliations:
- Almazov National Medical Research Centre
- Academician I.P. Pavlov First St. Petersburg State Medical University
- I.I. Dzhanelidze St. Petersburg Institute of Emergency Care
- Issue: Vol 12, No 2 (2022)
- Pages: 167-173
- Section: Сlinical observations
- URL: https://journals.eco-vector.com/uroved/article/view/105740
- DOI: https://doi.org/10.17816/uroved105740
- ID: 105740
Cite item
Open Access
Access granted
Abstract
The combination of renal cell carcinoma and urolithiasis in the same kidney is rare. The management of patients who have two such diseases simultaneously is primarily determined by renal cell carcinoma as the dominant disease. To date, modern diagnostic and surgical technologies make it possible to perform partial nephrectomy with simultaneous removal of a calculus from the pelvicalyceal system using minimally invasive endovideosurgical methods.
This study aimed to demonstrate the possibility of performing robot-assisted nephrectomy with calicolithotomy in a patient with abnormalities of renal vessels.
This work presents a clinical case of a 36-year-old man hospitalized with a neoplasm of the right kidney measuring 38 × 35 × 35 mm, detected during multislice computed tomography. In the lower group of calices of the kidney, a 5 × 4 mm calculus with a density of 1200 HU was found. The presence of anomalies of the renal vessels served as the basis for a three-dimensional (3D) reconstruction of the right kidney using the 3D Slicer modeling program. The patient underwent a robot-assisted kidney resection with calicolithotomy on a da Vinci SI robot. Intraoperatively, an ultrasound examination of the kidney was performed using an intracavitary sensor BK Flex Focus 800.
The console operating time of the operating surgeon was 110 min. Blood loss was approximately 100 ml. The warm ischemia time was 20 min. The postoperative period proceeded without complications. At 3 weeks postoperatively, nephrogenic arterial hypertension disappeared. Laboratory studies conducted 3 months after surgery indicated an increase in the glomerular filtration rate compared with preoperative results.
3D reconstruction allows rational planning of the scope of surgical intervention during preoperative preparation. Kidney resection with calicolithotomy is optimally performed using the da Vinci robot, which allows complex surgical techniques to be performed using endovideosurgical methods.
Full Text
About the authors
Mkrtich S. Mosoyan
Almazov National Medical Research Centre; Academician I.P. Pavlov First St. Petersburg State Medical University
Email: moso03@yandex.ru
ORCID iD: 0000-0003-3639-6863
SPIN-code: 5716-9089
Scopus Author ID: 57208982777
Dr. Sci. (Med), Head of the Department of Urology with the Course of Robotic Surgery and the Clinic, Head of the Center for Robotic Surgery, Professor of the Department of Urology
Russian Federation, Saint Petersburg; Saint PetersburgGocha Sh. Shanava
Almazov National Medical Research Centre; I.I. Dzhanelidze St. Petersburg Institute of Emergency Care
Email: dr.shanavag@mail.ru
SPIN-code: 1706-7410
Cand. Sci. (Med.), MD, Associate Professor of the Department of Urology with the Course of Robotic Surgery and the Clinic, Urologist
Russian Federation, Saint Petersburg; Saint PetersburgArthur M. Simonyan
Almazov National Medical Research Centre
Author for correspondence.
Email: artsaimon143@gmail.com
Postgraduate Student of the Department of Urology with the Course of Robotic Surgery and the Clinic
Russian Federation, Saint PetersburgNadezhda A. Aysina
Almazov National Medical Research Centre
Email: aysina1984@mail.ru
SPIN-code: 3168-2228
Assistant of the Department of Urology with the Course of Robotic Surgery and the Clinic
Russian Federation, Saint PetersburgReferences
- Ferlay J, Colombet M, Soerjomataram I, et al. Cancer incidence and mortality patterns in Europe: Estimates for 40 countries and 25 major cancers in 2018. Eur J Cancer. 2018;103:356–387. doi: 10.1016/j.ejca.2018.07.005
- Capitanio U, Bensalah K, Bex A, et al. Epidemiology of Renal Cell Carcinoma. Eur Urol. 2019;75(1):74–84. doi: 10.1016/j.eururo.2018.08.036
- Padala SA, Barsouk A, Thandra KC, et al. Epidemiology of Renal Cell Carcinoma. World J Oncol. 2020;11(3):79–87. doi: 10.14740/wjon1279
- Curhan GC. Epidemiology of stone disease. Urol Clin North Am. 2007;34(3):287–293. doi: 10.1016/j.ucl.2007.04.003
- Lieske JC, Peña de la Vega LS, Slezak JM, et al. Renal stone epidemiology in Rochester, Minnesota: an update. Kidney Int. 2006;69(4):760–764. doi: 10.1038/sj.ki.5000150
- Romero V, Akpinar H, Assimos DG. Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol. 2010;12(2–3):e86–96.
- Scales CD Jr, Smith AC, Hanley JM, et al. Prevalence of kidney stones in the United States. Eur Urol. 2012;62(1):160–165. doi: 10.1016/j.eururo.2012.03.052
- Alyaev YuG, Grigoryan ZG, Krapivin AA. Opukhol’ pochki v sochetanii s mochekamennoi bolezn’yu. Kostroma: FGUIPP Kostroma, 2005. (In Russ.)
- Baccala A, Lee U, Hegarty N, et al. Laparoscopic partial nephrectomy for tumour in the presence of nephrolithiasis or pelvi-ureteric junction obstruction. BJU Int. 2009;103(5):660–662. doi: 10.1111/j.1464-410X.2008.08068
- Shpot’ EV, Pshikhachev AM. Principles of surgical treatment of patients with renal tumor and coexistent contralateral kidney stone. Urologiia. 2016;(6):76–83. (In Russ.)
- Federico A, Morgillo F, Tuccillo C, et al. Chronic inflammation and oxidative stress in human carcinogenesis. Int J Cancer. 2007;121(11):2381–2386. doi: 10.1002/ijc.23192
- van de Pol JAA, van den Brandt PA, Schouten LJ. Kidney stones and the risk of renal cell carcinoma and upper tract urothelial carcinoma: the Netherlands Cohort Study. Br J Cancer. 2019;120(3):368–374. doi: 10.1038/s41416-018-0356-7
- Cheungpasitporn W, Thongprayoon C, O’Corragain OA, et al. The risk of kidney cancer in patients with kidney stones: a systematic review and meta-analysis. QJM. 2015;108(3):205–212. doi: 10.1093/qjmed/hcu195
- Garisto JD, Dagenais J, Arora H, et al. Concurrent Robotic Pyelolithotomy and Partial Nephrectomy: Tips and Tricks. Urology. 2018;118:243. doi: 10.1016/j.urology.2018.03.035
- Andrade HS, Zargar H, Caputo PA, et al. Robotic pyelolithotomy for staghorn nephrolithiasis during partial nephrectomy. Int Braz J Urol. 2016;42(3):623–625. doi: 10.1590/S1677-5538.IBJU.2015.0282
- Kochkin AD, Gallyamov EA, Medvedev VL, et al. Unilateral combined lap partial nephrectomy and pyelolithotomy for ipsilateral tumor & kidney staghorn stone. Urologiia. 2021;(3):87–91. (In Russ.) doi: 10.18565/urology.2021.3.87-91
- Escudier B, Porta C, Schmidinger M, et al. Renal cell carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up†. Ann Oncol. 2019;30(5):706–720. doi: 10.1093/annonc/mdz056
- Abou Elkassem AM, Lo SS, Gunn AJ, et al. Role of Imaging in Renal Cell Carcinoma: A Multidisciplinary Perspective. Radiographics. 2021;41(5):1387–1407. doi: 10.1148/rg.2021200202
- Mosoyan MS. Comparison of open, laparoscopic and robot-assisted partial nephrectomy results. Nephrology (Saint Petersburg). 2014;18(2):79–84. (In Russ.)
- Matveev BP. Klinicheskaya onkourologiya. Leningrad: Meditsina, 2011. P. 11–226. (In Russ.)
- Zhao PT, Richstone L, Kavoussi LR. Laparoscopic partial nephrectomy. Int J Surg. 2016;36(C):548–553. doi: 10.1016/j.ijsu.2016.04.028
- Gurram S, Kavoussi L. Laparoscopic Partial Nephrectomy. J Endourol. 2020;34(S1):S17–S24. doi: 10.1089/end.2018.0307
- Nishikawa N, Nomoto M. Management of neuropathic pain. J Gen Fam Med. 2017;18(2):56–60. doi: 10.1002/jgf2.5
Supplementary files
