چكيده لاتين :
Bilateral synchronous laparoscopic nephrectomies are rare procedures
usually performed to treat uncontrolled hypertension and polycystic kidney disease in patients on dialysis and kidney transplant recipients.(1-3) Only a few case reports exist today describing synchronous laparoscopic treatment of bilateral solid masses in the kidneys.(4,5) Both conventional (“pure”) and hand-assisted techniques have been described to simplify port placements and standardize the
procedure.(4-6) However, optimal methods and details of various
approaches remain controversial. In this report, we demonstrate
that as clinical scenarios differ (ie,body habitus, size, and location of
diseased renal units), a customized approach may become necessary to
treat these challenging cases. To the best of our knowledge, this is also
the first reported case of bilateral posttransplant radical nephrectomy
employing both conventional and hand-assist laparoscopy for synchronous bilateral renal masses.
