Successful robot-assisted partial nephrectomy for giant renal hilum angiomyolipoma through the retroperitoneal approach: A case report  

作　　者：Shu-Hang Luo Qin-Song Zeng Jun-Xing Chen Bin Huang Zong-Ren Wang Wen-Ji Li Yun Yang Ling-Wu Chen 

机构地区：[1]Department of Urology,the First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510080,Guangdong Province,China [2]Department of Anesthesiology,the First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510080,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2022年第12期3886-3892,共7页世界临床病例杂志

摘　　要：BACKGROUND Giant renal angiomyolipomas(AMLs)may lead to complications including flank pain,hematuria,hypertension,retroperitoneal hemorrhage and even death.Giant AMLs which grow around renal hilar vessels and the ureter are rare.Most previous reports on the treatment of giant renal AMLs have focused on open surgery or a transperitoneal approach,with few studies on the retroperitoneal approach for large AMLs.We here report a case of giant renal hilum AML successfully treated with robot-assisted laparoscopic nephron sparing surgery the retroperitoneal approach,with a one-year follow-up.CASE SUMMARY A 34-year-old female patient was diagnosed with renal AML 11 years ago and showed no discomfort.The tumor gradually increased in size to a giant AML over the years,which measured 63 mm×47 mm×90 mm and was wrapped around the right hilum.Therefore,a robotic laparoscopic partial nephrectomy(LPN)via the retroperitoneal approach was performed.The patient had no serious postoperative complications and was discharged soon after the operation.At the one-year follow-up,the patient's right kidney had recovered well.CONCLUSION Despite insufficient operating space via the retroperitoneal approach,LPN for giant central renal AMLs can be completed using a well-designed procedure with the assistance of a robotic system.

关 键 词：Renal angiomyolipoma Robotic laparoscopic surgery RETROPERITONEAL 

分 类 号：R737.11[医药卫生—肿瘤]