Bilateral Single-Stage Nephrectomy for Synchronous Bilateral Renal Cell Carcinoma

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Ahmed Kotb
Amer Alaref
David Kisselgoff
Asmaa Ismail
Radu Rozenberg
Nishigandha Burute
Walid Shahrour
Owen Prowse
Hazem Elmansy


RCC, Lumbotomy, Nephrectomy


Bilateral synchronous renal cell carcinoma (RCC) is uncommonly encountered. Debate exists among urologists in managing these cases in a single surgery versus staged surgeries. We aim to report our experience in managing encountered cases using single-stage surgeries. Retrospective collection of cases with pathologically confirmed RCC that had single-stage bilateral renal surgery over the past 2 years. Three cases were identified. Patients were managed using bilateral transverse lateral lumbotomy. All patients did not have intraoperative or postoperative complications. Kidney function stayed stable after surgery. Single-stage bilateral renal surgery is a safe procedure. Bilateral transverse lateral lumbotomy allows for a fast and safe surgery with minimal complications. There is a possible histological disconcordance in bilateral synchronous RCC.

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