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Case Reports
. 2019 Mar 16;5(1):7-9.
doi: 10.1089/cren.2018.0084. eCollection 2019.

Robot-Assisted Nephron-Sparing Surgery for Cystic Nephroma in a Pediatric Patient: A Case Report

Lorenzo Masieri  1   2 , Francesco Sessa  2 , Chiara Cini  1 , Maurizio Sessa  3 , Davide Vanacore  2 , Giovanni Tasso  2 , Alessandro Pili  2 , Simone Sforza  2 , Isabella Greco  2 , Riccardo Campi  2 , Andrea Minervini  2 , Marco Carini  2
Affiliations
Case Reports

Robot-Assisted Nephron-Sparing Surgery for Cystic Nephroma in a Pediatric Patient: A Case Report

Lorenzo Masieri et al. J Endourol Case Rep. .

Abstract

Cystic nephroma is a benign kidney tumor, which presents as a unilateral cystic mass without solid elements. We presented the first case of cystic nephroma treated with robotic nephron-sparing surgery in a pediatric patient. The procedure adopted was the robot-assisted simple enucleation of the lesion, without arterial clamping.

Keywords: child; humans; kidney neoplasms; robotic surgical procedures; robotics.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

<b>FIG. 1.</b>
FIG. 1.
Case presentation. (A, B) MRI preoperatory imaging. Arrows indicate the mass on upper pole of the left kidney. Diameter of lesion 23 × 19 mm. (C, D) Trocar positioning according to patient's anatomy for the optimal triangulation toward the upper pole: an 8.5 mm umbilical trocar for the camera; two 8 mm ports for the robotics instruments and a 5 mm trocar for the assistant.
<b>FIG. 2.</b>
FIG. 2.
(A) Ultrasonographic assessment of lesion edges. (B) Marking margins of excision for enucleation by electrocautery. (C) Blunt dissection of the cleavage plane between the mass and the healthy renal parenchyma. (D) Suture of margins of enucleation with 4-0 continuous monofilament.
See this image and copyright information in PMC

References

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