Renal cavernous hemangioma: robot-assisted partial nephrectomy with selective warm ischemia. Case report and review of the literature

Renal hemangioma is a relatively rare benign tumor with a wide range of clinical and radiological presentation, not easy to differentiate preoperatively from a renal cancer. Due to its benign nature complete surgical resection is the recommended therapy and is considered curative. A 73-year old male...

Full description

Saved in:
Bibliographic Details
Published in:Il Giornale di chirurgia 2015-09, Vol.36 (5), p.197-200
Main Authors: Ceccarelli, G, Codacci Pisanelli, M, Patriti, A, Biancafarina, A
Format: Article
Language:English
Subjects:
Aged
Hemangioma, Cavernous - diagnostic imaging
Hemangioma, Cavernous - surgery
Humans
Kidney Neoplasms - diagnostic imaging
Kidney Neoplasms - surgery
Male
Nephrectomy
Original
Radiography
Robotic Surgical Procedures
Treatment Outcome
Warm Ischemia
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Renal hemangioma is a relatively rare benign tumor with a wide range of clinical and radiological presentation, not easy to differentiate preoperatively from a renal cancer. Due to its benign nature complete surgical resection is the recommended therapy and is considered curative. A 73-year old male patient followed-up for a lung carcinoma and a chronic renal failure underwent a CT scan showing a 35-mm mass of the inferior pole of the left kidney. The patient underwent robot-assisted partial nephrectomy with left inferior pole selective warm ischemia. The outcome was favorable and no repercussions on the renal reserve were observed postoperatively. Histopathological characteristics of the surgical specimen were consistent with renal cavernous hemangioma. A robot-assisted operation allows the fine dissection required to carry out a bloodless nephron-sparing surgery without a complete warm ischemia. The use of robot could be noteworthy for nephron-sparing surgery in cases of concomitant chronic renal failure.
ISSN:0391-9005
1971-145X
DOI:10.11138/gchir/2015.36.5.197