Laparoscopic resection of a kidney graft with a tumor, our experience


DOI: https://dx.doi.org/10.18565/nephrology.2022.3.64-67

Trushkin R.N., Artyukhina L.Yu., Kantimerov D.F., Isaev T.K., Shcheglov N.E., Shevtsov O.S., Klementieva T.M.

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology, Moscow, Russia
Background. Kidney transplantation is currently the "gold standard" for the treatment of patients with end-stage renal disease (ESRD). Kidney transplant patients have two-fold increased risk of developing neoplasms compared to the general population. Despite the low incidence of transplanted kidney cancer (0.5%), patients in this group require a non-standard approach from clinicians and represent difficult clinical cases. In particular, complications of the treatment of such patients, except for ordinary ones, include an increased likelihood of purulent-septic complications against the background of constant immunosuppressive therapy.
Material and methods. We performed laparoscopic resection of a transplanted kidney in 12 patients in our clinic in over 3 years. These formations were detected during screening ultrasound of the kidney graft and in 11 cases were asymptomatic, only in 1 case with a 10x9x8.5 cm tumor, the disease manifested as graft dysfunction and an increase in creatinine levels.
Results. All patients underwent laparoscopic resection of the transplanted kidney. No bleedings or deaths were registered.
Conclusion. Thus, laparoscopic resection of a transplanted kidney is an effective method for treating such a rare disease as a transplanted kidney cancer; it allows to reduce the mean bed-day, minimize purulent complications, taking into account minimally invasive technologies. It is also worth noting the encouraging oncological prognosis of these patients; the latter statement requires further follow-up of the operated patients.
Keywords: transplanted kidney cancer, transplanted kidney tumor, transplanted kidney neoplasm
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About the Autors

Ruslan N. Trushkin – Dr.Sci. (Med.), City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: uro52@mail.ru. ORCID: https://orcid.org/0000-0002-3108-0539
Lyudmila Yu. Artyukhina – Cand.Sci. (Med.), City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: @mail. ru. ORCID: https://orcid.org/0000-0003-3353-1636
Damir F. Kantimerov – Cand.Sci. (Med.), City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: kantimeroff@ gmail.com. ORCID: https://orcid.org/0000-0003-2813-4003
Teimur K. Isaev – Cand.Sci. (Med.), City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: dr.isaev@mail.ru. ORCID: https://orcid.org/0000-0003-3462-8616
Nikolay E. Shcheglov – City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: nickshch@mail.ru
Oleg S.Shevtsov – City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: shevkovos@yandex.ru
Tamara M. Klementieva – Cand.Sci. (Med.), City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: tamara- Klementeva@mail.ru


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