Technical challenges of lymphadenectomy in renal carcinoma performed with a 3D laparoscopic approach at a low pressure pneumoperitoneum due to associated pulmonary pathology – case report

Authors

  • Cristina E. Bujoreanu
  • Yarden Dor
  • Bogdan Petrut

DOI:

https://doi.org/10.15386/mpr-2055

Keywords:

renal cell carcinoma, 3D laparoscopy, pneumoperitoneum, lymphadenectomy

Abstract

We report the case of a 63-year-old male patient presenting left renal cell carcinoma (75/70/60 mm) associated with retroperitoneal lymph node masses (peri hilar of 15 mm; lombo-aortic of 50/40/30 mm), known also with chronic obstructive pulmonary disease GOLD4, sleep apnea and asthma with oxygen-dependent chronic obstructive respiratory insufficiency, a BMI of 37 with grade III obesity. Surgical treatment was performed using a 3D transperitoneal laparoscopic approach.  The surgery lasted 131 minutes, with 400 ml blood loss and grade 1 Clavien-Dindo post operative complications. An optimal pulmonary ventilation of the patient during surgery required a low intra-abdominal pressure (10 mmHg) which raised technical difficulties due to the lymph node mass dissection from the great vessels in a small operative field on an already obese patient with a voluminous renal tumor. The 3D transperitoneal laparoscopic approach was feasible within safe oncologic parameters

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Published

2022-02-11

How to Cite

1.
Bujoreanu CE, Dor Y, Petrut B. Technical challenges of lymphadenectomy in renal carcinoma performed with a 3D laparoscopic approach at a low pressure pneumoperitoneum due to associated pulmonary pathology – case report. Med Pharm Rep [Internet]. 2022 Feb. 11 [cited 2025 Oct. 5];95(3):332-6. Available from: https://medpharmareports.com/index.php/mpr/article/view/2055

Issue

Section

Case Report