Abdominal left renal radical nephrectomy for large renal. Medical search. Frequent questions

The classification of epithelial tumors of the kidney has in particular undergone substantial progress in the last two decades with major contributions from genetic typing of renal cell carcinomas (RCCs). (abdominalkey.com)
The role of genotyping and ancillary tools, in particular immunohistochemistry, in correctly classifying these tumors is highlighted in the section on Renal Cell Carcinoma. (abdominalkey.com)
More than 80% of renal tumors of childhood are Wilms tumor (nephroblastoma) ( 1 , 2 ). (abdominalkey.com)
Wiedemann-Beckwith syndrome is related to abnormalities on chromosome 11p15 and characterized by multiple craniofacial anomalies, abdominal wall defects, and tumors of the genitourinary tract, liver, adrenal gland, and central nervous system among other abnormalities. (abdominalkey.com)
Large tumors of a size greater than 7 cm should be removed. (journalajrru.com)
Removal of kidney tumors can be done using larger open incisions or through minimally invasive approaches such as laparoscopic or robotic surgery. (bidmc.org)
These tumors oftentimes have a highly irregular interface with the kidney parenchyma and have fascicles of tumor cells interlacing with renal parenchyma. (cap.org)
Especially during excision of large tumors, sometimes 12 th rib has also to be removed through the same incision. (tibeterdogru.com)
But in terms of efficiency, there is not a significant difference between Radical Nephrectomy (which is total removal of kidney) and Robotic Surgery or Conventional Laparoscopic Surgery performed for kidney tumors. (tibeterdogru.com)
The main surgery during which Robotic Surgery technique provides especially technical advantage is Nephron Sparing Surgery for Renal Tumors, which is also called Partial Nephrectomy or Nephron-Sparing Renal Tumor Excision. (tibeterdogru.com)
This technique can be used especially for renal tumors that are 4cm or smaller in diameter, depending on their locations in kidney. (tibeterdogru.com)
The standard practice in localized kidney tumors that can be operated with organ (kidney) sparing surgery technique is the open partial nephrectomy. (tibeterdogru.com)
Indications for unilateral nephrectomy include unilateral tumors, living kidney donation, severe unilateral kidney trauma, recurrent pyelonephritis in a refluxing non- or minimally-functioning kidney, atrophic kidney, and in the setting of a non-functioning, dysplastic kidney resulting in severe hypertension (HTN). (kireportscommunity.org)
The adoption of robotic assistance has contributed to the increased utilization of partial nephrectomy for the management of renal tumors. (biomedcentral.com)
RCC, an adenocarcinoma, accounts for 90 to 95% of primary malignant renal tumors. (msdmanuals.com)
In select patients with very larger tumors, laparoscopic and robotic adrenalectomy may not be feasible and therefore open adrenalectomy may be required. (ufl.edu)

Robotic partial nephrectomy utilizes an operating telescope and thin, specialized instruments placed in the abdomen through 3-4 "keyhole" incisions, each 1cm. (bidmc.org)
Robotic partial nephrectomy controls cancer equally as well as the traditional open procedure. (bidmc.org)
Image-2: Robotic Partial Nephrectomy - Locations of the small holes opened on anterior abdominal wall during robotic or laparoscopic kidney surgeries. (tibeterdogru.com)
To our knowledge, a comprehensive safety checklist does not exist to guide surgeons on the management of hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
A treatment safety checklist for the management of hemorrhage during robotic partial nephrectomy was collaboratively developed based on prior experiences with intraoperative hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
Reducing the risk of hemorrhage during robotic partial nephrectomy begins with reviewing the preoperative imaging for renal vasculature and tumor anatomy, with a focus on accessory vessels and renal tumor proximity to the renal hilum. (biomedcentral.com)
Safely performing robotic partial nephrectomy is dependent on attention to prevention of hemorrhage and rapid response to the challenge of intraoperative bleeding. (biomedcentral.com)
Preparation is essential for maximizing the chance of success during robotic partial nephrectomy. (biomedcentral.com)
Series on robotic partial nephrectomy report a reasonable blood loss (Table 1 ). (biomedcentral.com)
Thus, the existing literature does little to educate surgeons on how to deal with bleeding during robotic partial nephrectomy while clamped. (biomedcentral.com)
Table 1 Selected reports from 2009-2012 of estimated blood loss during robotic partial nephrectomy with hilar clamping. (biomedcentral.com)
The goal of this manuscript is to educate robotic surgeons in factors to minimize hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
We then developed a safety and management checklist for "hemorrhage while clamped" during robotic partial nephrectomy. (biomedcentral.com)

For Mayo grade 1 TT, part of the inferior vena cava was blocked by a bulldog clamp after milking the TT into the left renal vein and the inferior vena cava was sutured after complete excision of the TT. (biomedcentral.com)
It is feasible to control left renal vein and partial inferior vena cava through descending colon mesentery in a single position during LRN and tumor thrombectomy for the treatment of high-risk Mayo grade 0 and 1 TT. (biomedcentral.com)
Studies have shown that radical nephrectomy and inferior vena cava TT removal for patients with locally advanced renal cancer can effectively improve the prognosis, and the 5-year tumor-specific survival rate is 40-65% [ 2 ]. (biomedcentral.com)
If it is a high-risk Mayo grade 0 TT or even grade 1 TT, traditionally two steps were utilized including management of the inferior vena cava and removement of the TT, and then nephrectomy after changing the surgical position. (biomedcentral.com)
In order to simplify the procedure, we explored the trans-mesocolon approach to fully dissect the left renal vein to the inferior vena cava in single position to treat high-risk Mayo 0-grade and grade 1 TT. (biomedcentral.com)
A follow-up contrast enhanced computerised tomography (CT) scan of the thorax, abdomen and pelvis was carried out which demonstrated a large right intrarenal tumour with extracapsular spread into the right adrenal gland and vascular invasion of the right renal vein and inferior vena cava (IVC). (biomedcentral.com)
Tumor thrombus, the intravascular extension of tumor into adjacent blood vessels, is frequently encountered in patients with renal cell carcinoma and hepatocellular carcinoma, and often involves the abdominal vasculature including the renal vein, portal vein, and the inferior vena cava. (bvsalud.org)
The left renal vein is longer than the right as it crosses the midline to reach the inferior vena cava (IVC). (medscape.com)
For larger masses in the PC RPLND setting, additional procedures may be necessary depending on the location of the masses and clinical scenario (i.e., desperation or late relapse) such as nephrectomy, inferior vena cava (IVC) reconstruction or resection, and aortic replacement. (abdominalkey.com)

The right gonadal vein empties directly into the cava, whereas the left gonadal vein generally empties into the left renal vein. (medscape.com)
After the renal artery was controlled by Hem-o-lok, the left renal vein was dissected through descending colon mesentery. (biomedcentral.com)
The left renal vein was divided by EndoGIA for high-risk Mayo grade 0 TT. (biomedcentral.com)
Left renal vein TT is more complicated than right renal vein TT and the length of Mayo grade 0 TT determines the complexity of the surgery. (biomedcentral.com)
If it is a low-risk Mayo grade 0 TT, the end of the TT is on the left side of the mesenteric artery, the left renal vein can be fully controlled by traditional approach. (biomedcentral.com)
The imaging examination of case 3 showed left kidney tumor with retroperitoneal lymphadenopathy, left renal vein TT (Mayo grade 0) and multiple lung metastases. (biomedcentral.com)
The renal veins drain the kidneys in a similar distribution, and the renal vein is generally anterior to the renal artery at the hilum. (medscape.com)
Generally, the left gonadal vein drains into the left renal vein inferiorly, while the left suprarenal vein drains into the superior aspect of the renal vein at approximately the same level. (medscape.com)
Posteriorly, the left second lumbar vein typically drains into the left renal vein as well. (medscape.com)
The left renal vein then crosses under the origin of the superior mesenteric artery to reach the IVC. (medscape.com)
On the right side, the renal vein and gonadal vein drain separately and directly into the IVC. (medscape.com)
RCC can trigger thrombus formation in the renal vein, which occasionally propagates into the vena cava. (msdmanuals.com)
On this medial aspect of each kidney is an opening, called the hilum , which admits the renal artery , the renal vein , nerves , and the ureter . (wikidoc.org)
Blood from these capillaries collects in renal venules and leaves the kidney via the renal vein . (wikidoc.org)

To explore the feasibility of single-position laparoscopic radical nephrectomy (LRN) and tumor thrombectomy for left renal cell carcinoma with high-risk Mayo 0 and 1 tumor thrombus (TT). (biomedcentral.com)
The aim of the study was to explore the feasibility of single position transperitoneal laparoscopic radical nephrectomy (LRN) and high-risk Mayo 0 and 1 tumor thrombectomy and the surgical techniques were described in detail. (biomedcentral.com)
The aim of this study was to analyze the feasibility and the safety of laparoscopic nephrectomy in the treatment of pathologies of the upper urinary tract through the experience of the Urology B department. (springeropen.com)
We have retrospectively and monocentrally selected patients who underwent laparoscopic nephrectomy from January 2017 to December 2019. (springeropen.com)
Laparoscopic nephrectomy appears to be an efficient and reliable technique. (springeropen.com)
When it comes to urology, it all started when Ralph Clayman performed the first laparoscopic nephrectomy in 1991 [ 1 ]. (springeropen.com)
In 1993, Gaur proposed the retro-peritoneal (RP) approach to perform laparoscopic nephrectomy [ 4 ]. (springeropen.com)
Since then, laparoscopic nephrectomy has undergone significant development, whether performed trans or retroperitoneally, with or without robot assistance. (springeropen.com)
The aim of this study is to evaluate the feasibility of laparoscopic nephrectomy, its advantages and especially its complications through the experience of the urology B department of the Ibn Sina hospital. (springeropen.com)
However, thanks to our latest experiences in laparoscopic and robotic surgeries, now we are able to partially excise renal masses that are 6-8 cm in diameter, while preserving the remained healthy part of kidney. (tibeterdogru.com)
Thanks to increasing experience in intracorporeal suturing (suturing and knot-tying inside the body) and advanced laparoscopic vessel devices used during laparoscopic technique, it has become easier to perform partial nephrectomy via laparoscopic technique in selected patients. (tibeterdogru.com)
Surgical nephrectomies can be open, laparoscopic, or robot-assisted. (kireportscommunity.org)

Metastasis of clear cell renal cell carcinoma (ccRCC) to the thyroid gland is rare, and simultaneous occurrence of ccRCC and papillary thyroid carcinoma (PTC) is even rarer. (spandidos-publications.com)
During a Targeted Oncology™ Case-Based Roundtable™ event, Pedro C. Barata, MD, MSc, and participants discussed dosing and toxicity issues related to tivozanib and lenvatinib/everolimus in a patient who has received 2 prior lines of therapy for metastatic clear cell renal cell carcinoma. (targetedonc.com)

It can provide an outline of the kidneys and tumor as well as identify problems in the renal or other major veins in the abdomen. (ucsfbenioffchildrens.org)
The kidneys are two fist-sized organs located behind the abdominal organs, located on either side of the spine. (snec.com.sg)
The kidneys are paired retroperitoneal structures that are normally located between the transverse processes of T12-L3 vertebrae, with the left kidney typically somewhat more superior in position than the right. (medscape.com)
The blood supply to the kidneys arises from the paired renal arteries at the level of L2. (medscape.com)
However, there are circumstances when kidneys do not behave as they should, and nephrectomy is more beneficial than leaving a dysfunctional kidney. (kireportscommunity.org)
Currently, nephrectomies are not performed with Multicystic Dysplastic Kidneys (MCDK). (kireportscommunity.org)
the adjective renal meaning related to the kidney is from Latin rēnēs , meaning kidneys. (wikidoc.org)
Congenital absence of one or both kidneys, known as unilateral or bilateral renal agenesis , can occur. (wikidoc.org)
Since the kidneys are located on different heights, the upper pole of the right kidney is at the same level as the hilum of the left kidney. (wikidoc.org)

In April 2018, the patient underwent radical resection of the left kidney for ccRCC at Xinqiao Hospital, Third Military Medical University (Chongqing, China). (spandidos-publications.com)
Postoperative review via enhanced abdominal CT indicated complete resection of the retroperitoneal metastases ( Fig. 1B ). (spandidos-publications.com)
En bloc resection of the tumor and surrounding tissues and organs as well as part of the right wall of the subrenal IVC. (bvsalud.org)
Surgical resection is performed and pathologic evaluation shows completely resected Wilms tumor with focal penetration of the renal capsule. (pedsurglibrary.com)
2. Renal artery embolization (RAE) has been described for cases of severe nephrotic syndrome (NS) , renal masses at risk for hemorrhage with resection (i.e., tuberous sclerosis-associated angiomyolipomas), and acute renal hemorrhage associated with trauma. (kireportscommunity.org)

We successfully treated the patient with locally advanced HLRCC-associated kidney cancer, who has received active surveillance because of at-risk individual, by radical nephrectomy and extended retroperitoneal lymph node dissection, and examined surgically resected samples from a molecular point of view. (biomedcentral.com)
The current gold standard treatment for retroperitoneal sarcoma is en bloc multivisceral resectionresection. (bvsalud.org)

Involvement of the renal vasculature is not identified. (cap.org)

Inherited conditions that predispose one to kidney cancer include von Hippel-Lindau (VHL) syndrome, tuberous sclerosis, Birt-Hogg-Dube syndrome, and hereditary non-VHL clear cell and papillary renal cell cancer. (snec.com.sg)
These include von Hippel-Lindau disease, hereditary papillary renal cell carcinoma, and tuberous sclerosis. (healthline.com)

The tumor was limited to the renal parenchyma, away from sinus fat. (biomedcentral.com)
As partial nephrectomy is increasingly performed with a minimally invasive approach, control of intraoperative hemorrhage can be more challenging than simple manual compression of the renal parenchyma with suturing, as can be done in open surgery. (biomedcentral.com)

The patient was referred to a urologist and had a complete workup, which included a CT scan of his chest, abdomen, and pelvis, appropriate blood work and a urinalysis, and he underwent a left radical nephrectomy. (targetedonc.com)
and the renal pelvis posteriorly. (medscape.com)
Renal pelvis carcinoma starts in the part of the kidney where urine is collected. (healthline.com)
The tip of each pyramid (called a papilla ) empties into a calyx , and the calices empty into the renal pelvis . (wikidoc.org)

The first branch off of the renal artery is the inferior suprarenal artery. (medscape.com)
The renal artery then branches off into 5 segmental branches. (medscape.com)
Renal pelvic and superior ureteric branches also originate from the renal artery and supply the upper portion of the collecting system (see the image below). (medscape.com)
Each kidney receives its blood supply from the renal artery , two of which branch from the abdominal aorta . (wikidoc.org)
Upon entering the hilum of the kidney, the renal artery divides into smaller interlobar arteries situated between the renal papillae. (wikidoc.org)

A left renal mass was detected on computerized tomography (CT) scan followed by a histopathological diagnosis of MTSCC with 70% tumor showing the sarcomatoid change. (biomedcentral.com)

A case of a 23-year-old male is discussed with an incidental renal mass in the left kidney after a workup of bilateral flank pain. (biomedcentral.com)
Bilateral renal involvement by tumor is present at diagnosis. (pedsurglibrary.com)
Current recommendations suggest surveillance abdominal ultrasound examinations for the above patients, siblings of patients with familial Wilms and offspring of patients with bilateral Wilms. (pedsurglibrary.com)
Unilateral or bilateral nephrectomy. (kireportscommunity.org)
Indications for bilateral nephrectomy include autosomal recessive polycystic kidney disease (ARPKD) and autosomal dominant polycystic kidney disease (ADPKD) owing to their large sizes. (kireportscommunity.org)
This is followed by bilateral nephrectomy and subsequent kidney transplant at the age of 1-2 years. (kireportscommunity.org)

During the study period, 31 (45.6%) simple nephrectomy, 26 (38.2%) total nephrectomy, 1 (1.5%) partial nephrectomy and 10 (14.7%) nephroureterectomy were performed in our department. (springeropen.com)
Partial nephrectomy of a kidney with Wilms tumor carries better outcomes with negligible risks than total nephrectomy. (kireportscommunity.org)

Over 95% of our partial nephrectomies in 2014 were performed robotically, a much higher rate than most other institutions. (bidmc.org)
Since that time, the authors have performed a total of over 1500 robotic partial nephrectomies. (biomedcentral.com)

The imaging examinations of case 2 showed a left kidney tumor with venous TT (Mayo grade 1), accompanied by left adrenal gland metastasis. (biomedcentral.com)
After the operation, the pathological examination results suggested the following: Renal clear cell carcinoma, pT1aN0M0, the tumor sized ~4.0×4×3.5 cm 3 , with no lymph node cancer metastases or distant metastasis. (spandidos-publications.com)
The patient was followed with serial imaging studies by the urologist, and in September 2017, was noted to have a local recurrence in the bed at the site of the nephrectomy, as well as a large lytic metastasis in his pubic bone. (targetedonc.com)
The patient achieved a partial response to sunitinib with a stable bone disease, but good response in both the lung metastasis and in the local recurrence on the left kidney bed. (targetedonc.com)

Multiple enlarged upper abdominal and left renal hilar lymph nodes were seen. (biomedcentral.com)
During hilar exposure, an attempt is made to identify additional accessory renal arteries. (biomedcentral.com)
We identified factors to consider during review of preoperative imaging and renal hilar exposure. (biomedcentral.com)

In wake of complete clinical, laboratory, and radiological assessment left radical nephrectomy and adrenalectomy with lymph node dissection was performed. (biomedcentral.com)
A 48-year-old woman with a left renal tumor and involvement of multiple regional lymph nodes with high accumulation of fluorine-18-deoxyglucose on positron emission tomography was treated with axitinib as a neoadjuvant therapy. (biomedcentral.com)
The CECT abdomen showed a left renal mass (44 × 55 mm) with enlarged perinephric lymph nodes (Fig. 1 A). (springeropen.com)

Then the affected part of the colon was removed from the abdominal cavity through the colpotomic opening. (best-in-surgery.com)
The asymmetry within the abdominal cavity caused by the liver results in the right kidney being slightly lower than the left one while the left kidney is located slightly more medial. (wikidoc.org)
The abdominal cavity is carefully inspected and palpated for signs of disease. (abdominalkey.com)
The laparoscope allows for 10X magnification of the operative field, allowing the surgeon to accomplish the surgical procedure with improved visualization and without placing his hands into the abdominal cavity. (ufl.edu)

In order to perform an open nephrectomy (in the language of medicine, total removal of kidney is called nephrectomy), a surgical incision that can reach up to 35-40 cm is being made (Image-1). (tibeterdogru.com)
There will be long-term pain and numbness around surgical site due to the damage caused to muscles and nerves while making this large surgical incision. (tibeterdogru.com)
It has also been used before kidney transplantation (KT) as an alternative to surgical nephrectomy. (kireportscommunity.org)
Specifically in children , a unilateral ligation approach was compared to unilateral surgical nephrectomy before KT (indications for which included polyuria, massive resistant proteinuria, intractable HTN, and recurrent kidney infection). (kireportscommunity.org)
The benefits of ureteral ligation over surgical nephrectomy include a less invasive procedure with smaller incisions and less risk for bleeding. (kireportscommunity.org)
During this stressful situation, it is imperative for the surgeon to have an organized approach to management of hemorrhage, as delayed management could lead to prolonged ischemic times, iatrogenic positive surgical margins from inadequate visualization, conversion to open surgery, or radical nephrectomy. (biomedcentral.com)
To protect the ureteral anastamosis, plastic stents are sometimes left in both ureters for six weeks after surgical urinary diversion. (usadelaware.com)
Operating room configuration for left robotic adrenalectomy (courtesy of Intuitive Surgical Inc, Sunnyvale, CA). (ufl.edu)

The IVC is formed by the confluence of the left and right common iliac veins. (medscape.com)
The azygous system has connections with the IVC or the renal veins at the level of the renal veins. (medscape.com)
The next major veins encountered are the renal veins, followed by the hepatic veins. (medscape.com)

We recommended that 13 at-risk individuals from a family with HLRCC should receive active surveillance for early detection of renal cancer. (biomedcentral.com)
Our aim in here is removing only the cancerous tumor tissue and leaving healthy part to the patient, while keeping the cancer under control. (tibeterdogru.com)
Kidney or renal cell cancer is a disease in which malignant (cancer) cells form in the kidney. (snec.com.sg)
While not as common, renal sarcoma is a type of kidney cancer that starts in connective tissues or blood vessels. (healthline.com)
For kidney cancer that has not spread, surgery to remove the mass (partial nephrectomy) or the whole kidney (radical nephrectomy) may be required. (melbourneurologygroup.com.au)
Renal cell carcinoma (RCC) is the most common renal cancer. (msdmanuals.com)
This urinary diversion is often done as part of a radical cystectomy for bladder cancer, but might also be used to manage a dysfunctional bladder. (usadelaware.com)
Renal oncology, in particular, started to draw the interest from some scholars in the 19th century with Max Wilms being one of those scientists (American Cancer Society, 2015). (master-dissertation.com)
German surgeon Max Wilms revealed the disease in the child, and later, found that nephroblastoma could occur only in children aged 3-4 as their kidney tissue has a large number of embryonic cells (American Cancer Society, 2015). (master-dissertation.com)
At the same time, congenital anomalies, such as hemihypertrophy, hypospadias, as well as the presence of two renal pelves of each kidney, increase the risk of cancer (Ko, 2008). (master-dissertation.com)

Congenital mesoblastic nephroma represents approximately 2-4% of all pediatric renal neoplasms. (cap.org)

A three-year old child presents with a large renal mass suspected to be a Wilms tumor. (pedsurglibrary.com)
Children with which of the following conditions should receive screening renal ultrasounds for nephroblastoma (Wilms tumor)? (pedsurglibrary.com)
Wilms tumor usually presents as an asymptomatic abdominal mass in an otherwise healthy child. (pedsurglibrary.com)

However, there are times when unilateral nephrectomy is undertaken initially to reduce proteinuria while simultaneously preserving residual kidney function. (kireportscommunity.org)

Thoracic segmental spinal anesthesia may be a viable alternative to general anesthesia in upper abdominal surgeries in ALS patients. (springeropen.com)

RCC may not be diagnosed until after it has metastasized because the primary tumor can grow fairly large without creating symptoms such as flank pain or a mass in the abdomen. (urotoday.com)

Hereditary leiomyomatosis and renal cell carcinoma (HLRCC) is an autosomal dominant tumor susceptibility syndrome, and the disease-related gene has been identified as fumarate hydratase (fumarase, FH ). (biomedcentral.com)

Unlike renal stones which are often painless, ureteric stones often cause pain which may radiate from the back down into the groin. (melbourneurologygroup.com.au)
The kidney is innervated by the renal and ureteric nerve , which arises from the renal plexus . (wikidoc.org)

CT scan (Fig. 1 ) abdomen showed well-defined heterogeneously relatively hypo-enhancing, ball-shaped, left renal mass with loss of fat interface with adjacent large bowel, compressing and displacing pelvicalyceal system with no definite vascular extension. (biomedcentral.com)
A Left renal mass seen in the CECT abdomen scan. (springeropen.com)
Your doctor will look for an abdominal swelling or a lump in your abdomen. (healthline.com)
The abdomen is filled with carbon dioxide gas to create a larger working space for the surgeon to accomplish the operation. (ufl.edu)

He was prepared for nephron-sparing surgery, with the possibility of radical nephrectomy depending on the intraoperative finding. (urotoday.com)
In both cases treatment consisted of radical surgery. (bvsalud.org)
However, thanks to the technologic advantages offered to urology by daVinci Robot, robotic surgery in treatment of renal cancers has come to the fore. (tibeterdogru.com)
Image-1: Open Nephrectomy - During open kidney surgery, 3 layers of muscle composing abdominal wall are cut through consecutively with a big flank incision. (tibeterdogru.com)
However, partial nephrectomy can be technically challenging because of intraoperative hemorrhage, which limits the ability to identify the tumor margin and may necessitate the conversion to open surgery or radical nephrectomy. (biomedcentral.com)
In the primary RPLND setting, a left- or right-sided nerve-sparing surgery will result in normal ejaculation postoperatively in up to 99% of cases. (abdominalkey.com)

Abdominal Ultrasound - This is a diagnostic imaging technique that uses high-frequency sound waves and a computer to create images of blood vessels, tissues and organs. (ucsfbenioffchildrens.org)

He had an evaluation done by CT scan in the emergency room that showed that he had diverticulitis, which was likely the cause of the abdominal pain, but he was found to have an 8-centimeter left renal mass, that was found incidentally. (targetedonc.com)
Most kidney, or renal, cysts are found incidentally. (melbourneurologygroup.com.au)

The routine blood tests showed elevated levels of eosinophils, and the liver function test showed mildly elevated levels of Î³-glutamyl transpeptidase and alkaline phosphatase, and abdominal ultrasound showed hepatosplenomegaly and suspicion of intrahepatic arteriovenous or arteriovenous-portal fistula. (bvsalud.org)

A renal biopsy may be required to assist with the diagnosis. (melbourneurologygroup.com.au)

An ultrasound scan was carried out which demonstrated a large mass in the right kidney. (biomedcentral.com)
A 38-year-old patient with ALS diagnosed with a left renal mass of mitotic origin was scheduled for radical nephrectomy after an evaluation. (springeropen.com)
A 3-month-old infant is brought to their local pediatrician by parents concerned with a palpable abdominal mass. (cap.org)
Gross examination of the kidney demonstrates a 7.9 cm circumscribed tan and firm mass present within the upper pole of the left kidney. (cap.org)
Patients affected typically present with a solitary palpable abdominal mass. (cap.org)

The indications for hospitalization were based on ultrasound and abdominal-pelvic CT data. (springeropen.com)
Abdominal and pelvic CT scan with IV contrast. (abdominalkey.com)

Congenital Finnish-type nephrotic syndrome is characterized by massive proteinuria, and treatment often involves daily albumin infusions, intensified nutrition, and initial therapy with NSAID and renin-Angiotension-Aldosterone system inhibition (RAASi), thereby reducing proteinuria (aka medical nephrectomy, discussed later). (kireportscommunity.org)

Analysis of intracorporeal compared with extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium. (mainehealth.org)

The tumor was found to be focally invading into the perinephric fat, beyond the renal capsule. (biomedcentral.com)
Renal capsule intact. (pedsurglibrary.com)
Some of the terminal branches of the interlobular arteries become perforating radiate arteries, which supply the renal capsule. (medscape.com)
The outer portion of the kidney is called the renal cortex , which sits directly beneath the kidney's loose connective tissue/fibrous capsule . (wikidoc.org)

We report here the case of a 41 years old patient with a large right adrenal myelolipoma. (journalajrru.com)

Traditionally, partial nephrectomy had been performed via an open approach but there has been a steady trend toward a minimally invasive approach [ 2 ]. (biomedcentral.com)

Clear cell RCC was not diagnosed until histological evaluation was completed after a nephrectomy. (urotoday.com)
Histological examination of the nephrectomies carried out in our department revealed mainly chronic non-specific pyelonephritis in 24 (35.3%) patients, followed by renal cell carcinoma in 23 (33.82%) patients and urothelial carcinoma in 9 (13.2%) patients. (springeropen.com)

The tumor is usually circumscribed by a pseudocapsule formed of compressed renal and perirenal tissues. (abdominalkey.com)

Hemorrhage is further concerning as control can occupy valuable time during which the renal unit is ischemic due to renal vascular clamping during tumor excision. (biomedcentral.com)

These arteries branch into interlobar arteries, which travel in a parallel fashion in between the major calyces and then branch further into arcuate arteries that run within the cortex across the bases of the renal pyramids. (medscape.com)
Deep to the cortex lies the renal medulla , which is divided into 10-20 renal pyramids in humans. (wikidoc.org)

Abdominal Computed Tomography (CT or CAT) Scan - This is a diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce cross-sectional images, both horizontally and vertically, of the body. (ucsfbenioffchildrens.org)
Magnetic Resonance Imaging (MRI) - This diagnostic procedure uses a combination of large magnets, radio frequencies and a computer to produce detailed images of organs and structures within the body. (ucsfbenioffchildrens.org)
Intravenous Pyelogram A radiologic procedure in which intravenous (IV) dye is injected to assist in the visualization of renal structure. (nursekey.com)

EMG showed fasciculations of the left abductor pollicis brevis, left tibialis anterior, paraspinal muscles (thoracic), and tongue suggestive of neurogenic involvement of skeletal muscles. (springeropen.com)

The kidney biopsy confirmed clear renal cell carcinoma with poorly differentiated and accompanied by necrosis. (biomedcentral.com)
The pathology from kidney biopsy demonstrated clear renal cell carcinoma and the patient received 2 cycles of axitinib for neoadjuvant treatment. (biomedcentral.com)

Some children may have bloody urine, abdominal pain, loss of appetite, fatigue or weight loss. (ucsfbenioffchildrens.org)

On examination there was mild abdominal tenderness and epigastric fullness. (biomedcentral.com)
4 months ago the patient was hospitalized due to epigastric abdominal pain, lack of appetite and weight loss. (doctorsmedicalopinion.com)

Case 1 imaging examination revealed a left kidney tumor with venous TT (Mayo stage 1) and multiple lung metastases. (biomedcentral.com)
A neurological examination revealed severe spasticity in all limbs along with widespread wasting of all large and small muscles. (springeropen.com)

Our experience with thoracic segmental spinal anesthesia for nephrectomy in this ALS has been satisfactory. (springeropen.com)
Herein, we describe our experience with thoracic segmental spinal anesthesia in a patient with ALS posted for radical nephrectomy. (springeropen.com)

During partial nephrectomy, in which part of the kidney is removed for a renal tumor, hemorrhage can be particularly troublesome because the kidney is a well perfused organ and renal cell carcinomas are associated with increased vascularity [ 1 ]. (biomedcentral.com)

Anatomy7

Diseases10

Chemicals and Drugs4

Analytical, Diagnostic and Therapeutic Techniques and Equipment23

Psychiatry and Psychology1

Phenomena and Processes2

Disciplines and Occupations2

Technology, Industry, Agriculture1

Information Science5

Named Groups1

Health Care9

Geographicals1

Tumors16

Robotic Partial Nephrectomy13

Inferior vena9

Vein14

Laparoscopic12

Clear cell renal cell carc2

Kidneys9

Resection5

Retroperitoneal2

Vasculature1

Papillary2

Parenchyma2

Pelvis4

Artery5

Computerized tomography1

Bilateral6

Total nephrectomy2

Partial nephrectomies2

Metastasis4

Hilar3

Lymph3

Cavity4

Surgical8

Veins3

Cancer10

Neoplasms1

Wilms3

Unilateral1

Surgeries1

Flank pain1

Hereditary1

Ureteric2

Abdomen4

Surgery6

Blood vessels1

Found incidentally2

Ultrasound showed1

Diagnosis1

Mass5

Pelvic2

Congenital1

Robot-assisted1

Capsule4

Adrenal1

Minimally1

Histological2

Perirenal1

Tumor Excision1

Pyramids2

Procedure3

Involvement1

Biopsy2

Urine1

Epigastric2

Examination2

Segmental2

Hemorrhage1