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Robot-assisted sutureless partial nephrectomy for the treatment of fifteen bilateral renal masses in a patient with Von Hippel–Lindau syndrome : a case report from a high-volume robotic center

Maria Peraire Lores, Jesús Domínguez, Carlo A. Bravi, Angelo Mottaran, Luca Sarchi, Marco Paciotti, Adele Piro, Luigi Nocera, Eleonora Balestrazzi, Rui Farinha, et al.
(2023) CEN CASE REPORTS. 12(3). p.335-340
Author
Organization
Abstract
Renal cell carcinoma is among major causes of death in patients with Von Hippel-Lindau (VHL) syndrome, and it usually presents with multiple and bilateral lesions that may require multiple renal surgeries. This, in turn, may compromise renal function, resulting in end-stage renal disease. To minimize renal function impairment in these patients, great importance is given to the preservation of functional parenchyma with the use of nephron-sparing techniques. Furthermore, new techniques such as off-clamp surgery, selective suturing or sutureless techniques may improve long-term functional outcomes. We described the case of a 27-year-old male patient with a family history of VHL disease affected by multiple, bilateral renal masses. He received bilateral, metachronous robot-assisted partial nephrectomies (RAPN) for a total of 15 renal lesions. No intra- or post-operative complications occurred, and the patient was discharged on the second postoperative day after both procedures. Serum creatinine after the second RAPN was 0.99 mg/dl (baseline value was 1.11 mg/dl). In patients with VHL syndrome and multiple renal lesions, robot-assisted partial nephrectomy, especially with the use of clampless and sutureless techniques, helps minimizing renal function impairment and should be performed when anatomically and technically feasible.
Keywords
General Medicine, Nephron-sparing surgery, Partial Nephrectomy, Robotic surgery, Familial renal cancer, Von Hippel-Lindau disease

Citation

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MLA
Peraire Lores, Maria, et al. “Robot-Assisted Sutureless Partial Nephrectomy for the Treatment of Fifteen Bilateral Renal Masses in a Patient with Von Hippel–Lindau Syndrome : A Case Report from a High-Volume Robotic Center.” CEN CASE REPORTS, vol. 12, no. 3, Springer Science and Business Media LLC, 2023, pp. 335–40, doi:10.1007/s13730-022-00770-7.
APA
Peraire Lores, M., Domínguez, J., Bravi, C. A., Mottaran, A., Sarchi, L., Paciotti, M., … Mottrie, A. (2023). Robot-assisted sutureless partial nephrectomy for the treatment of fifteen bilateral renal masses in a patient with Von Hippel–Lindau syndrome : a case report from a high-volume robotic center. CEN CASE REPORTS, 12(3), 335–340. https://doi.org/10.1007/s13730-022-00770-7
Chicago author-date
Peraire Lores, Maria, Jesús Domínguez, Carlo A. Bravi, Angelo Mottaran, Luca Sarchi, Marco Paciotti, Adele Piro, et al. 2023. “Robot-Assisted Sutureless Partial Nephrectomy for the Treatment of Fifteen Bilateral Renal Masses in a Patient with Von Hippel–Lindau Syndrome : A Case Report from a High-Volume Robotic Center.” CEN CASE REPORTS 12 (3): 335–40. https://doi.org/10.1007/s13730-022-00770-7.
Chicago author-date (all authors)
Peraire Lores, Maria, Jesús Domínguez, Carlo A. Bravi, Angelo Mottaran, Luca Sarchi, Marco Paciotti, Adele Piro, Luigi Nocera, Eleonora Balestrazzi, Rui Farinha, Kim Pauwaert, Manoe van Herwaarden, Marie-Hélène Vinckier, Pieter De Backer, Ruben De Groote, Frederiek D’Hondt, Geert De Naeyer, and Alexandre Mottrie. 2023. “Robot-Assisted Sutureless Partial Nephrectomy for the Treatment of Fifteen Bilateral Renal Masses in a Patient with Von Hippel–Lindau Syndrome : A Case Report from a High-Volume Robotic Center.” CEN CASE REPORTS 12 (3): 335–340. doi:10.1007/s13730-022-00770-7.
Vancouver
1.
Peraire Lores M, Domínguez J, Bravi CA, Mottaran A, Sarchi L, Paciotti M, et al. Robot-assisted sutureless partial nephrectomy for the treatment of fifteen bilateral renal masses in a patient with Von Hippel–Lindau syndrome : a case report from a high-volume robotic center. CEN CASE REPORTS. 2023;12(3):335–40.
IEEE
[1]
M. Peraire Lores et al., “Robot-assisted sutureless partial nephrectomy for the treatment of fifteen bilateral renal masses in a patient with Von Hippel–Lindau syndrome : a case report from a high-volume robotic center,” CEN CASE REPORTS, vol. 12, no. 3, pp. 335–340, 2023.
@article{01GSK3FC63BJZR6GE3FHYD4X1C,
  abstract     = {{Renal cell carcinoma is among major causes of death in patients with Von Hippel-Lindau (VHL) syndrome, and it usually presents with multiple and bilateral lesions that may require multiple renal surgeries. This, in turn, may compromise renal function, resulting in end-stage renal disease. To minimize renal function impairment in these patients, great importance is given to the preservation of functional parenchyma with the use of nephron-sparing techniques. Furthermore, new techniques such as off-clamp surgery, selective suturing or sutureless techniques may improve long-term functional outcomes. We described the case of a 27-year-old male patient with a family history of VHL disease affected by multiple, bilateral renal masses. He received bilateral, metachronous robot-assisted partial nephrectomies (RAPN) for a total of 15 renal lesions. No intra- or post-operative complications occurred, and the patient was discharged on the second postoperative day after both procedures. Serum creatinine after the second RAPN was 0.99 mg/dl (baseline value was 1.11 mg/dl). In patients with VHL syndrome and multiple renal lesions, robot-assisted partial nephrectomy, especially with the use of clampless and sutureless techniques, helps minimizing renal function impairment and should be performed when anatomically and technically feasible.}},
  author       = {{Peraire Lores, Maria and Domínguez, Jesús and Bravi, Carlo A. and Mottaran, Angelo and Sarchi, Luca and Paciotti, Marco and Piro, Adele and Nocera, Luigi and Balestrazzi, Eleonora and Farinha, Rui and Pauwaert, Kim and van Herwaarden, Manoe and Vinckier, Marie-Hélène and De Backer, Pieter and De Groote, Ruben and D’Hondt, Frederiek and De Naeyer, Geert and Mottrie, Alexandre}},
  issn         = {{2192-4449}},
  journal      = {{CEN CASE REPORTS}},
  keywords     = {{General Medicine,Nephron-sparing surgery,Partial Nephrectomy,Robotic surgery,Familial renal cancer,Von Hippel-Lindau disease}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{335--340}},
  publisher    = {{Springer Science and Business Media LLC}},
  title        = {{Robot-assisted sutureless partial nephrectomy for the treatment of fifteen bilateral renal masses in a patient with Von Hippel–Lindau syndrome : a case report from a high-volume robotic center}},
  url          = {{http://doi.org/10.1007/s13730-022-00770-7}},
  volume       = {{12}},
  year         = {{2023}},
}
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