urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2024-12-3-125-130urovest-890Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL CASESДвусторонняя одномоментная резекция почкиBilateral simultaneous partial nephrectomyhttps://orcid.org/0009-0008-9636-877XАль-ТавильМ.AlTawilM.

Мухамад Аль-Тавиль — доктор медицины, доктор философии

Дамаск

Muhamad AlTawil — M.D., Ph.D.

Faculty of Medicine 

Damascus

 

muhamad.tawil@damascusuniversity.edu.syДамасский университетСирияDamascus UniversitySyrian Arab Republic202408072024123125130Copyright © Аль-Тавиль М., 20242024Аль-Тавиль М.AlTawil M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/890Введение

Введение. Резекция почки является методом выбора при небольших опухолях почек. Существуют и другие показания: опухоль единственной почки, множественные и двусторонние опухоли.

Клиническое наблюдение

Клиническое наблюдение. Мужчина 67 лет обратился с жалобами на боль в левой поясничной области и симптомы нижних мочевыводящих путей. Компьютерная томография органов брюшной полости и таза выявила двусторонние образования почек. После проведения необходимых лабораторных анализов и исследований пациенту была проведена двусторонняя открытая одномоментная резекция почек. Через два дня пациент был выписан в удовлетворительном состоянии. Последующее наблюдение (3 месяца) показало отсутствие рецидива и хорошую функцию почек.

Обсуждение

Обсуждение. Резекция почки всё чаще используется для лечения злокачественных опухолей. Сохранение функции почек при сокращении морбидности и эквивалентных онкологических исходах привело к сдвигу парадигмы от радикальной нефрэктомии.

Заключение

Заключение. Двусторонняя одномоментная резекция почки возможна с хорошими клиническими и онкологическими результатами.

Introduction

Introduction. Partial nephrectomy is the treatment of choice for small renal tumors. There are other indications include tumors in a solitary kidney, multiple and bilateral tumors.

Сase presentation

Сase presentation. A 67-year-old male presented with left flank pain and lower urinary tract symptoms. Computed tomography for abdominal and pelvis showed bilateral renal masses. After doing the essential laboratory tests and investigations, he underwent bilateral open simultaneous partial nephrectomies. After two days, he was discharged with no complains. Follow-up after three months showed no recurrence and acceptable renal function.

Discussion

Discussion. Partial nephrectomy is increasingly used for the management of renal masses. The preservation of renal function with reduced morbidity and equivalent oncologic outcomes led to a paradigm shift away from radical nephrectomy.

Conclusion

Conclusion. Bilateral partial nephrectomy is feasible with both clinical and oncological good results.

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The authors declare that there are no conflicts of interest present.