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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2023; 07(03): 208-210
DOI: 10.1055/s-0043-1769102
Case Report

Hybrid Laparoscopic and Ultrasound-Guided Thermal Ablation of Recurrent Renal Cell Carcinoma in a Patient with von Hippel-Lindau Disease and a Solitary Kidney

Warren Clements 
1   Department of Radiology, Alfred Hospital, Victoria, Australia
2   Department of Surgery, Monash University Central Clinical School, Victoria, Australia
3   National Trauma Research Institute, Victoria, Australia
,
Sivaneswaran Lechmiannandan
4   Department of Urology, Alfred Hospital, Victoria, Australia
,
Nicholas Campbell
2   Department of Surgery, Monash University Central Clinical School, Victoria, Australia
4   Department of Urology, Alfred Hospital, Victoria, Australia
,
Heather K. Moriarty
5   Department of Radiology, Cork University Hospital, Cork, Ireland
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Abstract

von Hippel-Lindau disease is an inherited autosomal dominant multisystem cancer syndrome. Multiple malignancies including renal cell carcinoma (RCC) occur in approximately 40%. A 69-year-old female presented with recurrent RCC in a solitary kidney, after previous partial nephrectomy and ablation. The 19-mm lesion was anterior and adherent to the descending colon, obviating percutaneous hydrodissection. A combined urology-interventional radiology procedure was performed including laparoscopic division of adhesions and mobilization of the colon, followed by direct laparoscopic and ultrasound-guided radiofrequency ablation. This novel approach was technically and clinically successful, which highlights the advantages of working in a multidisciplinary environment.

Keywords

RCC - ablation - hybrid - single kidney - laparoscopy


Publikationsverlauf

Artikel online veröffentlicht:
06. Juni 2023

© 2023. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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