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Off-Clamp Laparoscopic Partial Nephrectomy for a Fat-Poor Angiomyolipoma Arising from the Renal Capsule: A Case Report
Off-Clamp Laparoscopic Partial Nephrectomy for a Fat-Poor Angiomyolipoma Arising from the Renal Capsule: A Case Report
- Source :
- Case Reports in Urology, Vol 2012 (2012)
- Publication Year :
- 2012
- Publisher :
- Hindawi Limited, 2012.
-
Abstract
- Renal function can be significantly preserved after nephron-sparing surgery by decreasing the intraoperative ischemic duration or by performing off-clamp surgery. We report the case of a 56-year-old woman diagnosed with a minimal-fat angiomyolipoma arising from the renal capsule, which was successfully treated by retroperitoneoscopic partial nephrectomy without hilar clamping. Computed tomography revealed a 16 × 13 mm homogenous lenticular mass protruding from the lateral aspect of the left kidney. On both T1- and T2-weighted magnetic resonance images, the mass exhibited homogenous low-signal intensity and well-defined margins. Laparoscopic magnification indicated that the exophytic tumor was attached to the renal cortex by a small peduncle. The tumor was resected completely with negative surgical margin. The estimated glomerular filtration rate after surgery was nearly equal to that before surgery. Off-clamp laparoscopic partial nephrectomy is a feasible surgical option to prevent ischemic renal damage in select patients presenting with small, exophytic, and peripheral renal masses.
- Subjects :
- Diseases of the genitourinary system. Urology
RC870-923
Subjects
Details
- Language :
- English
- ISSN :
- 2090696X and 20906978
- Volume :
- 2012
- Database :
- Directory of Open Access Journals
- Journal :
- Case Reports in Urology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.49ae58da2cc44b2eb639cadd55578bbc
- Document Type :
- article
- Full Text :
- https://doi.org/10.1155/2012/484790