Partial nephrectomy for solid renal masses in polycystic kidneys: open surgical technique.
C O'Connell, M R Clarkson, F O'Brien et al.
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Case in brief
The report describes three patients with autosomal dominant polycystic kidney disease, multicystic kidneys and solid renal masses, who were not receiving renal replacement therapy. Each had early chronic kidney disease, so open partial nephrectomy was selected for suspected kidney cancer to preserve renal function. The authors describe the operative technique for these challenging kidneys. At last follow-up, all patients had stable creatinine and no recurrence.
What made this case unusual
Partial nephrectomy in multicystic ADPKD kidneys is technically challenging and not widely reported; the report focuses on an open approach in patients not receiving renal replacement therapy.
Diagnostic / clinical pearl
In ADPKD patients with solid renal masses and early chronic kidney disease, nephron-sparing surgery may be feasible; the report describes open partial nephrectomy with stable creatinine and no recurrence at last follow-up.